title: Terrible Triad Injuries of the Elbow.
abstract: The treatment of terrible triad injuries of the elbow continues to evolve. Radial head fixation and arthroplasty, coronoid process fixation, and repair of the lateral collateral ligament continue to be the mainstays of treatment. In the elbow with persistent instability after repair of these elements, application of a static external fixation, hinged external fixation, ulnohumeral joint pinning, or an internal hinge may be needed. In patients who undergo treatment after the acute injury period, the coronoid may require reconstruction using radial head autograft, iliac crest autograft, olecranon autograft, or allograft.
authors.affiliation: Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.
authors.forename: Neal C
authors.initials: NC
authors.lastname: Chen
authors.affiliation: Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA. Electronic address: dring@mgh.harvard.edu.
authors.forename: David
authors.initials: D
authors.lastname: Ring
mesh_terms: D000058:Accidental Falls; D001178:Arthroplasty; D017885:Collateral Ligaments / Q000293:injuries*; D004185:Disability Evaluation; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011885:Radius Fractures / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016059:Range of Motion, Articular; D012307:Risk Factors; D000092464:Elbow Injuries
keywords: Terrible; elbow; fracture; instability; triad