Home > Journals > Journal of Orthopedic Education

Journal of Orthopedic Education

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Terrible Triad of Elbow

Sarath Chandra Rellu, Ravi Patil, Halesh B, Shivaprasanna Vastrad, S.S. Ghatawalimath, R.B. Uppin, Aditya Pratap

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Journal of Orthopedic Education 10(2):p 51-53, May-August 2024. | DOI: https://doi.org/10.21088/joe.2454.7956.10224.2

How Cite This Article:

Ravi Patil, Halesh B, Shivaprasanna Vastrad, et al. Terrible Triad of Elbow. Jr. Orth. Edu. 2024;10(2):51–53.

Timeline

Received : June 12, 2024         Accepted : July 22, 2024          Published : August 25, 2024

Abstract

The terrible triad of elbow, initially named by Hotchkiss, is a combination of dislocation of elbow, along with the fracture of radial head and coronoid process. The management of such injuries is to restore the stabilizing bony structures of the elbow, if not treated appropriately can lead to stiffness, post-traumatic arthritis and pain. So, the sequence of fixation is mobilization of the radial head fragments and fixation of coronoid fracture, fixation or replacement of radial head or neck fracture, and reattachment of the Lateral Collateral Ligament origin to lateral epicondyle. We are reporting one such case, of a male of 50 years, and have discussed mechanism of injury, clinical presentation, management and prognosis.

References

  • 1.   Ramz Zjuanos Carbans J, jennart H. Terrible triad of elbow with an ipsilateral Essex Lopresti Injury: Case report. J. Surg Case Rep. 2020, Jun:2020(6) raja 103, IPMC free article (PubMed)
  • 2.   S. W. O’Driscoll, J.B jupiter, GJ King RN, Hotchkiss, B. F. More. The Unstable Elbow. J.Bone Joint. Am. 82 pp: 724-738
  • 3.   B. F. Morrey. Complex Instability of the Elbow. J.Bone Joint Surg. Am. 79(1997) pp: 460-469
  • 4.   A. D. Armstrong, The terrible triad of the Elbow. Curr.open.orthop, 16(2005) pp: 267-270
  • 5.   D. Ring, J. B. Jupiter J Zilber. Posterior dislocation of the elbow with fractures of the radial head and coronoid. J.Bone Joint Surg. Am. 84(2002) pp: 547-551
  • 6.   M. D. Mokee, EH Schernitsch, Salo SW, O’Driscoll. The pathoanatomy of lateral ligamentous disruption in Complex elbow instability. J. Shoulder Elbow Surg. 12(2003) pp: 391-396
  • 7.   T. K. Cobb, B. F. Morrey. Use of distraction arthroplasty in unstable fracture dislocation of the Elbow. Clin. Orthop, 312(1995) pp: 201-210
  • 8.   S. Kamineni H Hirahara, P Neale. SW, O’Driscoll KN, B. F. Morrey. Effectiveness of the lateral unilateral dynamic external fixator after elbow ligaments injury. J. Bone x Joint. Am. 89 (2007) pp: 1802-1809

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

About this article

Cite this article

Ravi Patil, Halesh B, Shivaprasanna Vastrad, et al. Terrible Triad of Elbow. Jr. Orth. Edu. 2024;10(2):51–53.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
June 12, 2024 July 22, 2024 August 25, 2024
DOI: https://doi.org/10.21088/joe.2454.7956.10224.2

Keywords

DislocationElbowFractureRadiusCoronoid

Article Level Metrics

Last Updated

Friday 21 August 2026, 23:05:38 (IST)

1964

Accesses

4
237
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received June 12, 2024
Accepted July 22, 2024
Published August 25, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share