Results of Posterior Dislocation of Elbow Associated with Bony and Soft Tissue Injury

Abstract

Elbow trauma is challenging to manage by virtue of its complex articular structure and capsuloligamentous and musculotendinous arrangements. We included 17 patients with elbow dislocation and associated injuries in this study. The study protocol included early elbow reduction and planned fixation of the medial or lateral condyle, coronoid and radial head. The sample was 73% male and 27% female with mean duration follow-up of 8 months, and mean age of 37 years. The mean Mayo Elbow Performance Score was 96 points at conclusion of follow-up, indicating an excellent result in 14 patients. Whenever the radial head was excised, we performed a strong transosseous ligamentous repair of the medial and lateral collateral ligaments. Fixation of the coronoid is essential for elbow stability. A small avulsed fragment can be fixed using an ACL jig. We found this technique very useful. Early planned intervention, stable fixation, and repair provide sufficient stability and enhance functional outcomes.Key Wordselbow dislocation, ligament instability, coronoid fracture

Terrible triad of the elbow and associated variants: a systematic review

“… Author Title Journal Year of publication Design Kumar et al 14 A Rare Combination of Fractures around the Elbow: Bony Variant of Terrible Triad Chinese Journal of Traumatology 2015 Case report Courtney et al 4 A Terrible Quartet Injury of the Elbow: A Terrible Triad Variant with a Capitellar Shear Fracture Journal of Bone and Joint Surgery Case Connect 2014 Case report Lambers, K and Ring, D 15 Elbow Fracture-Dislocation with Triceps Avulsion: Report of 2 Cases Journal of Hand Surgery 2011 Case report Elloumi et al 9 Floating Forearm with Terrible Triad Injury of the Elbow: A Case Report Journal of Orthopaedic Case Reports 2018 Case report Caviglia et al 3 Fracture of the distal complex elbow dislocation: is terrible tetrad a new entity? Revista latinoamericana de Cirugia Ortopedica 2016 Case series Shetty et al 33 Our Experience of a Case of Terrible Triad of Elbow Nitte University Journal of Health Science 2014 Case report Dailiana et al 5 Pediatric Terrible Triad Elbow Fracture Dislocations: Report of 2 Cases Journal of Hand Surgery 2013 Case report Rooke et al 29 Pediatric Terrible Triad Injury of the Elbow: A Rare and Easily Missed Injury Journal of Bone and Joint Surgery 2018 Case report Bhavsar et al 2 Results of Posterior Dislocation of Elbow Associated with Bony and Soft Tissue Injury Malaysian Orthopaedic Journal 2013 Retrospective case series Zha et al 35 Severe injury of bilateral elbow jo...…”

“…Bhavsar et al 2 conducted a retrospective case series describing 15 patients with elbow dislocations and associated injuries. One of the 15 cases reported was a man who presented with a TTE variant consisting of posterior elbow dislocation with associated RHF, medial condyle fracture, and LCL injury.…”

Management of post-traumatic elbow instability after failed radial head excision: A case report

“…Some authors also recommend ulno-humeral pin placement for a short period after ligament repair and radial head excision. 9 …”