After elbow dislocation with radial head and ulna coronoid process fractures (trilogy of terror) a preliminary report of 5 cases.docVIP

 PAGE \* MERGEFORMAT 4 After elbow dislocation with radial head and ulna coronoid process fractures (trilogy of terror) a preliminary report of 5 cases Author: Shi-Min, Yu glorious, Yuan Feng, Hai-feng, Zhou Qian, HUANG Yi-Gang, Zhu Hui, Li Shan Zhu [Abstract] [Objective] To introduce ‘triad of the elbow joint terror’ concept (posterior dislocation of the elbow accompanied by radial head and ulna coronoid process fractures), and reported five cases of patients with clinical experience. [Method] since April 2004 ~ March 2007, the author triad elbow injuries were treated in 5 cases. Radial head fractures according to Mason Law Category: Ⅱ type 4 cases, Ⅲ type 1 cases; according to Schatzker France Category: Ⅰ type 1 cases, Ⅱ type 3 cases, Ⅲ type 1 case. Of ulna coronoid process fractures were classified Regan  Morrey France Category: Ⅰ type 1 cases, Ⅱ type 4 cases; by O’Driscoll France Category: 5 cases were type Ⅰ . Four cases taken fixation treatment to 3 mm titanium lag screw or a hollow needle 1 mm K were fixed coronoid process and radial bone, and suture repair the lateral collateral ligament in the elbow. 90 ° of forearm rotation after elbow neutral position cast immobilization 3 weeks to begin rehabilitation flexion and rotation. [Results] The four cases of surgical treatment of patients after 3 months to 3 years follow-up, fracture healing, elbow stability, and no pain. Elbow flexion-extension range on average 120 ° , forearm rotation rate of an average of 110 ° . 3 cases were followed up more than 1 year, Mayo elbow function score: excellent in 2 cases, good in 1 case. 1 case of surgical treatment did not function assessed as poor, with elbow instability and pain. [Conclusion] The triad of the elbow fracture terror film Despite its small size, but accompanied by the lateral collateral ligament tear in the elbow, elbow serious instability. Only in the reconstruction of the bones and joints and soft tissue on the basis of structural stability