Fracture-Dislocations of the Elbow

Surgical management of medial and lateral elbow instability secondary to acute atypical complex elbow dislocation: Case report and literature review

“…In a review article on the management of elbow “terrible triad” injuries, Mathew suggested that MCL repair was unnecessary where the elbow became stable after repair of the coronoid process, radial head, and LCL from 30° to a full flexion ROM [ 10 ]. Geli et al similarly conducted a study analyzing varus posteromedial rotatory instability and emphasized the importance of repairing the LCL and the anteromedial facet of the coronoid, where the MCL is initially attached [ 4 ].…”

“…To achieve elbow stability, it is important to treat LCL disruption and any radial head fracture [ 4 ]. Additionally, coronoid fracture fixation is typically performed for type II and III injuries [ 4 ], where treatment aims to stabilize the elbow and restore a functional range of motion (ROM) [ 2 ]. Our report describes a case of acute elbow dislocation that developed into an atypical complex elbow injury resulting in medial and lateral elbow instability.…”