Management of Elbow Terrible Triad Injuries: A Comprehensive Review and Update.

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Abstract

[Indexed for MEDLINE] 3. Clin Sports Med. 2020 Jul;39(3):623-636. doi: 10.1016/j.csm.2020.03.002. Elbow Fractures. Midtgaard KS(1), Ruzbarsky JJ(2), Hackett TR(2), Viola RW(3). Author information: (1)The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA; Oslo University Hospital, Division of Orthopaedic Surgery, Kirkeveien 166, Oslo 0450, Norway; Norwegian Armed Forces Joint Medical Services, Forsvarsvegen 75, Sessvollmoen 2058, Norway. (2)The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA. (3)The Steadman Clinic, Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA. Electronic address: rv@thesteadmanclinic.com. The elbow joint consists of the humeroulnar, humeroradial, and proximal radioulnar joints. Elbow stability is maintained by a combination of static and dynamic constraints. Elbow fractures are challenging to treat because the articular surfaces must be restored perfectly and associated soft tissue injuries must be recognized and appropriately managed. Most elbow fractures are best treated operatively with restoration of normal bony anatomy and rigid internal fixation and repair and/or reconstruction of the collateral ligaments. Advanced imaging, improved understanding of the complex anatomy of the elbow joint, and improved fixation techniques have contributed to improved elbow fracture outcomes. Copyright © 2020 Elsevier Inc. All rights reserved. DOI: 10.1016/j.csm.2020.03.002