The Orthobullets Podcast Foundations⎪Trauma⎪Terrible Triad Injury of Elbow
Aug 2, 2025
Discover the intriguing details of the terrible triad injury of the elbow, including its components and the complexities of diagnosis. Engage with practical questions that sharpen your understanding of injury management. The conversation delves into treatment options and potential complications, providing valuable insights for front-line MSK providers. Perfect for those in orthopedic and emergency medicine, this episode enhances both knowledge and practical skills on a critical topic.
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Terrible Triad Injury Basics
- The terrible triad injury involves elbow dislocation, radial head fracture, and coronoid fracture.
- Each anatomical component plays a key role in elbow stability and injury mechanisms.
Mechanism of Injury
- A fall on a supinated, extended forearm causes valgus, axial, and posterolateral forces.
- These forces lead to posterolateral elbow dislocation hallmark of this injury.
Non-Operative Treatment Guidelines
- Consider non-operative immobilization only if joints are concentrically reduced and fractures are small.
- Start active motion early with resting splints and avoid terminal extension initially.