Recent literature has improved our understanding of elbow anatomy and biomechanics along with the pathoanatomy of this injury, thereby allowing the development of a systematic approach for treatment and rehabilitation. 2014 Dec;37(12):831-7. doi: 10.3928/01477447-20141124-06. %PDF-1.4 %���� ;8EDA��� ��`[1��E���"t�Bʕ� ,uh�F�ԕ �՚��e��I. 0000028049 00000 n xref Repair of tendon, artery and skeletal injuries. trailer This objective remains a challenge for surgeons due to the complexity of the lesion.5 100 43 If left untreated, they commonly result in functional compromise and poor outcomes. Clipboard, Search History, and several other advanced features are temporarily unavailable. The origins of the medial collateral ligament (MCL) and lateral collateral ligament (LCL) complexes avulse from the epicondyles and the Wrist reconstruction including fusion. of Orthopaedics and Sports Medicine University of Washington School of Medicine Rehabilitation considerations in the management of terrible triad injury to the elbow. Arthritis reconstruction of the thumb and fingers. Elbow fracture-dislocations destabilize the elbow, preventing functional rehabilitation. 0000002217 00000 n J Am Acad Orthop Surg 17: 137–151. Pugh and McKee 27 reported a mean arc of flexion of between 20° and 135° and mean rotation of 135°. A review. 0000049183 00000 n The unhappy triad, also known as a blown knee among other names, is an injury to the anterior cruciate ligament, medial collateral ligament, and meniscus.Analysis during the 1990s indicated that this 'classic' O'Donoghue triad is actually an unusual clinical entity among athletes with knee injuries. It is postulated that there is a posterolateral load upon the elbow during the fall, which results in tension failure of the LCL and the MCL, and a compressive load that fractures the radial head. Bohn K, Ipaktchi K, Livermore M, Cao J, Banegas R. Elbow fracture-dislocations destabilize the elbow, preventing functional rehabilitation. If left untreated, they commonly result in functional compromise and poor outcomes. Documentation of associated injuries occurring with radial head fracture. 0000000016 00000 n Reconstruction of pediatric hand defects and injuries. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. USA.gov. J Am Acad Orthop Surg. Epidemiology. Epub 2010 May 8. Review. 19. In some accidents, the elbow dislocates (the radius and ulna are pulled apart from the humerus) without any bones breaking; surgeons call this injury … 2009 Mar;17(3):137- 51. Review. Hongwei Chen Department of Orthopedics Yiwu Central Hospital, PR China Accepted onJanuary 11, 2017 1979;61(1):63-8. Pathology 0000010098 00000 n 0000001156 00000 n Fracture dislocation of the elbow, termed terrible triad, involves three anatomic injuries: coronoid fracture, radial head fracture, and posterior elbow dislocation. An elbow dislocation associated with a radial head and coronoid fractures is termed a terrible triad. Current treatment concepts for "terrible triad" injuries of the elbow. Elbow dislocation with intra-articular fracture: the results of operative treatment without repair of the medial collateral ligament. 0000003233 00000 n Terrible triad injury of the elbow: current concepts. Chemama B, Bonnevialle N, Peter O, Mansat P, Bonnevialle P. Orthop Traumatol Surg Res. 0000001668 00000 n 100 0 obj <> endobj protocols. 0000010818 00000 n The terrible triad primarily occurs in adults; the flexibility of ligaments in children make this constellation unlikely 4.. Radiographic Predictors of Medial Collateral Ligament Injury and Stability of the Elbow. Bohn K, Ipaktchi K, Livermore M, Cao J, Banegas R. Current treatment concepts for “terrible triad” injuries of the elbow. 0000002922 00000 n A new comprehensive classification system based on the three-column concept of elbow fracture dislocation is presented with a suggested algorithm for managing each injury pattern. 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