Dislocation + radial head fracture . Lateral tomogram of an elbow with posterior dislocation, coronoid fracture, and radial head fracture, the so-called “terrible triad” of the elbow. Luckily, elbow specialists have come up with sound strategies to restore the best possible stability and function to the elbow joint after a terrible triad. Generally these should commence around day 7-10 for a terrible triad or elbow dislocation unless otherwise specified in the operating report. Dislocation with Articular Fracture . Olecranon Fracture-Dislocations . Tomograms can often be very useful in defining bony fragments of the radial head (seen on this section) or coronoid. Surgical Approaches for Terrible Triad Fracture-Dislocations of the Elbow Michael J. Medvecky, MD Seth Dodds, MD Created May 2011 ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 461757-N2NkY 3 CLINICAL HISTORY 3 weeks before came to the hospital she had a single motorcycle accident When she fall from the motorcycle, her body fall on her right hand After accident she … Background- This study is to report our experience in the management of terrible triad injury of the elbow and to validate the therapeutic choices of our treatment. Careful attention to each destabilizing element of … 2 CHIEF COMPLAINT She came to the hospital because she can’t move her right arm. Terrible triad injury of elbow trauma orthobullets. Varus posteromedial rotational instability . Bed Side Teaching. Posterolateral rotatory instability of the elbow. This may be done as below, or in a hinged range of motion brace or x-fix if applied. Terrible Triad –tactic •Kocher approach to elbow (ECU-anconeus interval) •LCL often avulsed from lateral epicondyle •If resecting radial head, do it now to improve access to coronoid. The treatment of terrible triad injuries of the elbow continues to evolve. 1 IDENTIFICATION Name : Danila Sex : Female Age : 51 years old. Patterns of Traumatic Elbow Instability With Fracture . Anterior . Dislocation Injuries Disruption Injuries The terrible triad of the elbow is a difficult injury with historically poor outcomes. Elbow instability ppt. Terrible Triad . Posterior . Upper extremity injuries: shoulder, elbow and wrist. Objective Terrible triad injury of the elbow (TTIE), comprising elbow dislocation with radial head and coronoid process fracture, is notoriously challenging to treat and has typically been associated with complications and poor outcomes. Elbow instability orthopaedics and trauma. The terrible triad primarily occurs in adults; the flexibility of ligaments in children make … The terrible triad of the elbow is a severe elbow fracture-dislocation pattern and is so-called because it has poor medium-to-long term outcome.. Improved experience, techniques, and implants have advanced to the point where restoration of elbow stability can be expected. Radial head fixation and arthroplasty, coronoid process fixation, and repair of the lateral collateral ligament continue to be the mainstays of treatment. Isolated ligamentous injury can cause posteromedial elbow. Materials and Methods: Between 2010 and 2014, 15 terrible triad injury of elbow with nine males and six females of mean age of 35 years were included. The objective of this systematic review was to summarize the most recent available evidence regarding functional outcomes … Epidemiology. ... Elbow hinge fixator. Terrible Triad Injury Of Elbow. 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