Elbow Dislocation Combined with Coronoid Process and Radial Head Fracture
Journal of the Korean Fracture Society
;
: 437-442, 2005.
Article
in Korean
| WPRIM
| ID: wpr-220683
ABSTRACT
PURPOSE:
To evaluate the clinical outcome for terrible triad injury of the elbow joint. MATERIAL ANDMETHODS:
We reviewed consecutive 10 cases retrospectively among 12 terrible triad injuries, which had been followed up for a minimum 1 year. The average age at the time of injury was 45 years (range, 32~72). All cases were dislocated posteriorly. The 3 cases had fracture of olecranon. Combined medial and lateral approach was performed in 3 cases, medial and lateral approach after extensile posterior approach in 4 cases, transolecranon approach using existed olecranon fracture in 2 cases, and transolecranon approach in 1 case were done.RESULTS:
The average Mayo elbow performance score was 87, with 5 excellent, 4 good, and 1 poor results. Results by Riseborough and Radin's rating criteria include 9 good and 1 fair. The 8 cases were stable. But 2 cases were classified with moderate and severe instability; these cases had been performed by radial head allograft and excision respectively.CONCLUSION:
A stable, functional elbow can be restored in terrible triad injury by early active rehabilitation after anatomic reduction and firm internal fixation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rehabilitation
/
Retrospective Studies
/
Joint Dislocations
/
Elbow
/
Elbow Joint
/
Olecranon Process
/
Allografts
/
Head
Type of study:
Observational study
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2005
Type:
Article
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