Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 11-16, March 2010

My Approach to the Terrible Triad Injury

  • George Dyer, MD

      Affiliations

    • Department of Orthopaedic Surgery, Division of Upper Extremity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
    • ,
  • David Ring, MD, PhD

      Affiliations

    • MGH Hand and Upper Extremity, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress reprint requests to David Ring, MD, PhD, MGH Hand and Upper Extremity, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114

The combination of an elbow dislocation with fractures of the radial head and coronoid process has been labeled the terrible triad of the elbow. We prefer to repair the coronoid, repair or replaced the radial head, and reattach the origin of the lateral collateral ligament to the lateral epicondyle. Repair of the medial collateral ligament is not usually necessary.

Keywords: elbow dislocation, radial head fracture, coronoid fracture, terrible triad, operative treatment

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PII: S1048-6666(09)00134-7

doi:10.1053/j.oto.2009.09.015

Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 11-16, March 2010

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