Authors : Dr. Sushil Kamal1, Dr. Gaurav Vatsa2, Dr. Saurabh Suman3, Dr. Shubham Singla4
DOI : 10.9790/0853-2302066670
Volume : 23
Issue : 2
Year : 2024
Page No : 66-70
Background: Bilateral terrible triad injuries to the elbow are rare and challenging clinical scenarios characterized by a complex combination of posterolateral elbow dislocation, radial head fracture, and coronoid process fracture. Case Report: This study presents a case of a 21-year-old female with bilateral terrible triad injuries resulting from a fall, emphasizing the efficacy of early surgical intervention and highlighting the management strategies and outcomes. The patient's presentation included acute pain, swelling, and restricted elbow movement following the fall, necessitating surgical intervention with open reduction internal fixation. Radiographic imaging confirmed bilateral elbow dislocations, Mason type IV radial head fractures, Regan Morrey type 2 coronoid process fractures, and a proximal ulna fracture on the left side. Surgical management involved distinct approaches for each elbow, with reduction and fixation of the radial head, proximal ulna, and coronoid process.. Result: This case underscores the significance of timely surgical intervention and highlights the need for multidisciplinary approaches to manage bilateral terrible triad elbow injuries effectively. Post-operative assessment at 6 months revealed successful reduction and fixation, with the patient demonstrating good range of motion and stability in both elbows Discussion: Discussion focuses on the rarity of bilateral terrible triad injuries, their complex pathophysiology, and the importance of comprehensive surgical reconstruction. Early intervention, appropriate surgical techniques, and meticulous post-operative care are essential for optimizing functional outcomes and minimizing complications in such cases.