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

References 

  1. Hotchkiss RN. Displaced fractures of the radial head: Internal fixation or excision?. J Am Acad Orthop Surg. 1997;5:1–10
  2. Doornberg JN, van Duijn J, Ring D. Coronoid fracture height in terrible-triad injuries. J Hand Surg Am. 2006;31:794–797
  3. Schneeberger AG, Meyer DC, Yian EH. Coonrad-Morrey total elbow replacement for primary and revision surgery: A 2 to 7.5-year follow-up study. J Shoulder Elbow Surg. 2007;16(suppl 3):S47–S54
  4. Ring D. Open reduction and internal fixation of fractures of the radial head. Hand Clin. 2004;20:415–427vi
  5. McKee MD, Pugh DM, Wild LM, et al. Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures (Surgical technique). J Bone Joint Surg Am. 2005;87(suppl 1 Pt. 1):22–32
  6. Hwang RW, de Witte PB, Ring D. Compartment syndrome associated with distal radial fracture and ipsilateral elbow injury. J Bone Joint Surg Am. 2009;91:642–645
  7. O'Driscoll SW, Jupiter JB, Cohen MS, et al. Difficult elbow fractures: Pearls and pitfalls. Instr Course Lect. 2003;52:113–134[Review]
  8. Cage DJ, Abrams RA, Callahan JJ, et al. Soft tissue attachments of the ulnar coronoid process (An anatomic study with radiographic correlation). Clin Orthop Relat Res. 1995;320:154–158
  9. Pollock JW, Brownhill J, Ferreira L, et al. The effect of anteromedial facet fractures of the coronoid and lateral collateral ligament injury on elbow stability and kinematics. J Bone Joint Surg Am. 2009;91:1448–1458
  10. Forthman C, Henket M, Ring DC. Elbow dislocation with intra-articular fracture: The results of operative treatment without repair of the medial collateral ligament. J Hand Surg Am. 2007;32:1200–1209
  11. Pugh DM, McKee MD. The “terrible triad” of the elbow. Tech Hand Up Extrem Surg. 2002;6:21–29
  12. Ring D, Quintero J, Jupiter JB. Open reduction and internal fixation of fractures of the radial head. J Bone Joint Surg Am. 2002;84-A:1811–1815
  13. Smith GR, Hotchkiss RN. Radial head and neck fractures: Anatomic guidelines for proper placement of internal fixation. J Shoulder Elbow Surg. 1996;5:113–117
  14. Doornberg JN, Linzel DS, Zurakowski D, et al. Reference points for radial head prosthesis size. J Hand Surg Am. 2006;31:53–57

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