Terrible Triad of the Elbow
| Autor: | Daniel Albareda, Adolfo Orellana, Oscar Ares-Rodriguez, Manel Llusa, Roberto Seijas, Diego Collado |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Elbow Joint Dislocations Osteoarthritis Supination Postoperative Complications lcsh:Orthopedic surgery medicine Humans Total elbow arthroplasty Pronation Range of Motion Articular Aged Rehabilitation business.industry Triad (anatomy) Middle Aged medicine.disease Surgery lcsh:RD701-811 medicine.anatomical_structure Joint stiffness Female Heterotopic ossification medicine.symptom Radius Fractures Elbow Injuries Range of motion business |
| Zdroj: | Scopus-Elsevier Journal of Orthopaedic Surgery, Vol 17 (2009) Europe PubMed Central |
| ISSN: | 2309-4990 |
| Popis: | Purpose.To review epidemiological characteristics and treatment outcomes of the terrible triad of the elbow.Methods.Records of 18 cases of the terrible triad of the elbow occurring in 8 women and 8 men aged 17 to 77 (mean, 45) years were reviewed. The epidemiology and various treatment approaches and functional outcomes were recorded. The mean follow-up period was 13.6 (range, 4–38) months. The injury mechanisms included simple falls (n=12), falls from a low height (n=2), traffic accidents (n=2), and sports accidents (n=2). Radial head fractures and the coronoid apophysis fractures were classified.Results.There were 10 type-III and 8 type-II radial head fractures, 9 type-I and 9 type-II coronoid apophysis fractures, and all humeroulnar dislocations were posterior. The mean duration of immobilisation was 25.5 (range, 17–38) days. After rehabilitation, the mean range of motion of the elbow improved to 130° flexion (24% recovery), 18° extension (35% recovery), 73° supination (142% recovery), and 85° pronation (25% recovery). The greatest gain in range of motion occurred within 3 to 4 months. Complications included heterotopic ossification (n=4), blocked pronation and supination (n=4), transient ulnar nerve injury (n=2), Essex-Lopresti lesion (n=2), unnoticed dislocation (n=3), and rapidly progressive arthrosis (n=1).Conclusion.Although our patients had better recovery of range of motion than those reported in other studies, the terrible triad of the elbow can lead to joint instability, osteoarthritis, arthrosis, and joint stiffness, and may resort to total elbow arthroplasty in some cases. |
| Databáze: | OpenAIRE |
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