Result from surgical treatment on the terrible triad of the elbow

Santos, Anderson de Aquino; Tonelli, Thomaz Antônio; Matsunaga, Fábio Teruo; Matsumoto, Marcelo Hide; Netto, Nicola Archetti; Tamaoki, Marcel Jun Sugawara

doi:10.1016/j.rboe.2015.06.010

Cited by 6 publications

(5 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 19 ] Moreover, this study shows that the Mayo score in joint operation is significantly improved compared to the conservative approach. de Aquino Santos et al [ 20 ] also demonstrated that when functional activity of the elbow is taken into consideration, the results of the surgery were usually satisfactory. This is consistent with our results.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow

Tang

Zhu

et al. 2017

Medicine

View full text Add to dashboard Cite

Background:This retrospective study aims to investigate the efficacy and safety of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow (TTE).Methods:TTE patients who received a combination of posterior lateral and anteromedial approach or other conservative treatments were included in the present study. The postoperative functions of the elbow and the severity of traumatic arthritis were assessed using the Mayo Elbow Performance Score (MEPS) and visual analog scale (VAS). Extension–flexion of elbow joint and rotation of forearm were also measured.Results:A combined posterior lateral and anteromedial approach or other conservative treatments showed significant improvements in the activity of the elbow, MEPS, VAS, the excellent rate, and x-ray results. The postoperative healing time and complication rate of patients who received a combined posterior lateral and anteromedial approach significantly decreased compared to those who received other conservative treatments.Conclusions:Patients with TTE who received a combined posterior lateral and anteromedial treatment had an increased fracture healing rate, showed improved recovery of elbow functions and had fewer complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow

Tang

Zhu

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…Due to the complexity of this injury conservative treatment is least preferred and should be avoided as it has more long-term complications such as elbow stiffness, pain, joint instability, and secondary arthrosis. Hence, always managed with surgical intervention [8] .…”

Section: Introductionmentioning

confidence: 99%

Variants of terrible triad of the elbow: A brief literature review

Abraham¹,

Dhawan²,

JD³

et al. 2022

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Elbow fractures with dislocation are a challenge to treat and are associated with poor clinical outcomes as outlined in the literature. The terrible triad of the elbow is a combination of radial head fracture, coronoid process fracture, injury to collateral ligaments, and posterior dislocation of the elbow. The involvement of osseous and chondral supports around the elbow are considered as the variants in the terrible triad of elbow. We are reporting a brief review on such terrible triad variance of the elbow including cases who underwent management at our institute and a glimpse on other globally reported cases of similar variance. As it is necessary for the treating clinicians to get well-versed with such injuries, which can be easily missed during evaluation. The data available on these entities are limited and there is a further need to educate the clinicians regarding the same and its implications on the patients.

show abstract

“…Unfortunately, due to the complexity of the injury, conservative treatment is risky; the long-term complications include stiffness, pain, joint instability, and secondary arthrosis. 10 …”

Section: Introductionmentioning

confidence: 99%

Terrible triad of the elbow: evaluation of surgical treatment

Galbiatti

Cardoso

Ferro

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectiveThis study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function.MethodsA group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications.ResultsThere was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment.ConclusionDespite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.

show abstract

Result from surgical treatment on the terrible triad of the elbow

Cited by 6 publications

References 18 publications

Evaluation of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow

Evaluation of a combined posterior lateral and anteromedial approach in the treatment of terrible triad of the elbow

Variants of terrible triad of the elbow: A brief literature review

Terrible triad of the elbow: evaluation of surgical treatment

Contact Info

Product

Resources

About