肘关节三联征.pdf

Journal of Orthopaedic Surgery 2009;17(3):335-9 Terrible triad of the elbow 1 1,2 3 2 3 1,3 Roberto Seijas, Oscar Ares-Rodriguez, Adolfo Orellana, Daniel Albareda, Diego Collado, Manel Llusa 1 Department of Traumatology and Orthopaedic Surgery, Fundacion Garcia Cugat Hospital Quiron, Barcelona, Spain 2 Department of Traumatology and Orthopaedic Surgery, Hospital de Viladecans, Barcelona, Spain 3 Department of Traumatology and Orthopaedic Surgery, Hospital Vall d’Hebron, Barcelona, Spain flexion (24% recovery), 18º extension (35% recovery), 73º supination (142% recovery), and 85º pronation ABSTRACT (25% recovery). The greatest gain in range of motion occurred within 3 to 4 months. Complications included Purpose. To review epidemiological characteristics heterotopic ossification (n=4), blocked pronation and and treatment outcomes of the terrible triad of the supination (n=4), transient ulnar nerve injury (n=2), elbow. Essex-Lopresti lesion (n=2), unnoticed dislocation Methods. Records of 18 cases of the terrible triad (n=3), and rapidly progressive arthrosis (n=1). of the elbow occurring in 8 women and 8 men Conclusion. Although our patients had better aged 17 to 77 (mean, 45) years were reviewed. The recovery of range of motion than those reported in epidemiology and various treatment approaches