McKee MD, Pugh DM, Wild LM, Schemitsch EH, King GJ. Pathology They knocked me out and the next thing I remember is waking up in my hospital room. (I bet your glad you know that now.). Does the Coronoid Always Need to Be Fixed in Terrible Triad Injuries of the Elbow? Please enable it to take advantage of the complete set of features! This post describes what happened after the emergency room. Meena MK, Singh K, Meena S, Kumbhare C, Chouhan D. Bull Emerg Trauma. J Bone Joint Surg Am. That was a little disappointing. The objective was to analyze the long-term clinical outcome of terrible triad injury of the elbow following surgical intervention with a single lateral approach. Intraoperative photograph. Papatheodorou LK, Rubright JH, Heim KA, Weiser RW, Sotereanos DG. Treatment strategy of terrible triad of the elbow: experience in Shanghai 6th People's Hospital. Patterns of Traumatic Elbow Instability With Fracture . This is the bone that you feel when you are leaning your elbow on a table. You may want to place a pillow behind your elbow when seated or lying down to keep the surgery area forward to help decrease pain. After surgery, remember to do elbow physical therapy exercises. I had the same injury also from falling while clipped in. Three weeks ago, I sustained terrible triad elbow while studying abroad. There are a number of reasons why you might require elbow surgery to treat your conditions. In Press, Journal Pre-proof What are Journal Pre-proof articles? Surgical technique. On Monday I was able to do some work (I work from home) and it made me feel much better to be doing something normal. Conclusions: When an elbow joint is affected by the terrible triad, it is very unstable and prone to numerous complications. I really started to feel like myself again -- the pain wasn't bothering me at all. Li J, Lu D, Lin W, Li Q, Hu J, Xu D, Zhao Y, Guo W. Biomed Res Int. Background: The "terrible triad" of the elbow is a complex injury that can lead to pain, stiffness, and posttraumatic arthritis if not appropriately treated. If I was in pain, it would help me out and I had some control over it. These injuries make up about 30% of elbow dislocations, and are generally caused by falling onto an outstretched arm. was a great idea. The splint wrapped about 3/4 of the way around my upper and lower arm. The combination of elbow dislocation with both radial head and coronoid process fracture is notoriously challenging to treat and, as such, has been termed “terrible triad” injury of the elbow (TTIE) .This type of elbow injury is typically due to low or high energy falls onto an outstretched hand, which results in valgus and axial compression of the supinated forearm . An elbow terrible triad recovery story. The pain killers kicked in and I felt a lot better. treatment of the “terrible triad of the elbow”. 2014 Jul;472(7):2084-91. doi: 10.1007/s11999-014-3471-7. with an average of 31 months of follow-up, overall flexion arc was 111.4°, averaged flexion was 132.5° with forearm rotation of 135.5°, Mayo elbow performance score was 85.6 points, and Broberg-Morrey score was 85 points. button and wait seven or 14 minutes to hit the button multiple times. Dislocation with Articular Fracture . Essentially, it means you are under less general. Luckily 2 months out and 3 days a week of therapy my flexion and extension is almost symmetrical. I was on a ladder and was cautiously putting one foot on my ceramic tile roof when the ladder slid out from under me. After surgery, remember to do elbow physical therapy exercises. Indian J Orthop. | I would hit the button a couple times and get my pain under control. Elbow injury - "terrible triad" - surgery and reco... Elbow injury - "terrible triad" - the emergency room. | A return to sports three months later can be expected. My surgery was scheduled for 11AM, I believe. 2020 Jun 15;21(1):381. doi: 10.1186/s12891-020-03394-z. Also, the surgeon would be reconstruction two ligaments. Posterior . I don't remember how many times I went through that process, but it felt like the night took forever to pass. Terrible Triad . In the days following the visit to the emergency room, I was drugged up pretty heavily on, . Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Fixation versus replacement of radial head in terrible triad: is there a difference in elbow stability and prognosis? Algorithm for surgical treatment of terrible triad elbow injuries. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 2020 Jan;8(1):4-9. doi: 10.29252/beat-080102. I came home on Thursday and did essentially nothing until Monday. Repairing the meniscus or reconstructing the MCL does not lead to any change in the rehabilitation process. We analyzed prospectively a series of patient affected by TTI and treated according to the current diagnostic and surgical protocols to investigate whether their application allow to obtain more predictable outcomes. I have a hard spliny which I can remove and do some flexing exercising to try and keep joint flexible. Elbow radiographs showing elbow dislocation, radial head fracture and type I coronoid fracture (confirmed by computed tomography). Three patients underwent further surgical procedures, all for loss of motion. OBJECTIVE: The aim of this study was to evaluate the effect of surgical repair of the medial collateral ligament and ulnar nerve release in cases of terrible triad injuries of the elbow. Obviously, I was still out of it. A good way to rehab the elbow after terrible triad surgery is to perform active overhead exercises lying on your back. The elbow must be “cold” — no active inflammation — which usually means waiting 6 months to 9 months, otherwise the rebound inflammation will disconcert any results achieved at surgery, … The elbow is a joint where the arm bone meets the bones of the forearm (radius and ulna). Essentially, I had a button that was hooked up to a machine and I could request more pain. The bony end of the ulna is called the olecranon process. See this image and copyright information in PMC. ... put a drop of honey in it and down it. I remember being wheeled into the surgical room and looking around at all the people and equipment in the room. No surgery (yet)...doctor will determine need when I go back for follow up. The process also involves frequent follow ups and physical therapy. I could not eat or drink after midnight the night before surgery. We also discussed, and that I might get a "block" in my shoulder. UCL ulnar…, Elbow radiographs showing elbow dislocation,…, Elbow radiographs showing elbow dislocation, radial head fracture and type I coronoid fracture…, Computed tomography showing a type II (Regan-Morrey) coronoid fracture, Intraoperative photograph. team and circulating nurse for my surgery. Supination of my hand is off by 10 degrees and pronation is symmetrical. COVID-19 is an emerging, rapidly evolving situation. 2013. How is going the recovery of your elbow? terrible triad elbow injury that includes an unstable radial head fracture, a type III coronoid fracture, and an associated elbow dislocation. Surgical. Terrible triad injuries of the elbow: does the coronoid always need to be fixed? There are very few articles about terrible triad recovery for the elbow. My opinion changed later that night. We treated twenty-five patients with terrible triad injury of the elbow from July 1, 2017, to June 30, 2020, and performed post hoc analysis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 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