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

Medina, Giovanna; Keller, R; Sabbag, Orlando D.; Oh, Luke S.

doi:10.1016/j.xrrt.2021.10.004

Cited by 4 publications

(20 citation statements)

References 28 publications

(75 reference statements)

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“…Literature search on variants of terrible triad showed about 4 articles mentioning the same [9] . Medina G et al had done a systematic review on the classic components of terrible triad injury to the elbow and their variants.…”

Section: Resultsmentioning

confidence: 99%

“…Desai et al in his article mentioned a case involving a polytrauma patient who had a terrible triad variant consisting of a posterior elbow dislocation, coronoid process, and capitellum Fractures [1] . MRI was needed by Rooke et al [9] to diagnose an adolescent with terrible triad variant injury of the elbow, initially, a diagnosis of epiphyseal injury of the wrist was made. Later further evaluation revealed MCL laxity with ulno-humeral dislocation [9] .…”

Section: Resultsmentioning

confidence: 99%

“…"Terrible triad variants according to Medina G [9] was a combined bony or a cartilage injury to the elbow, and at least two of the three classical components of Terrible triad (coronoid fracture, radius head fracture, posterior ulnohumeral dislocation) should be present in addition to other unique elbow osteoarticular injury" [9] .…”

Section: Methodsmentioning

confidence: 99%

“…With the advent of 3D CT scan and MRI modalities detecting these variants have become easier. The terrible triad variant includes a combination of osseous and/or chondral injuries to the elbow in addition to other osteoarticular injury [9] . Variants reported were mostly capitellum fractures, radial neck fracture, coronoid Chandra injury, and medial condyle fracture [9] .…”

Section: Introductionmentioning

confidence: 99%

“…The terrible triad variant includes a combination of osseous and/or chondral injuries to the elbow in addition to other osteoarticular injury [9] . Variants reported were mostly capitellum fractures, radial neck fracture, coronoid Chandra injury, and medial condyle fracture [9] . In this proximity, we are reporting a few cases with terrible triad variant and its management at a tertiary center and a brief review to shed some light on this entity.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Abraham¹,

Dhawan²,

JD³

et al. 2022

Int. J. Orthop. Sci.

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%