Elbow dislocation accompanied by ulnar coronoid process and radial head fractures: A report of a terrible triad injury in a child.

Amir Bisadi, Fatemeh Abbasi, Mohammad Abbasalizadeh, Mahdi Mohammaditabar, Morteza Gholipour

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Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Amir BisadiBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Fatemeh AbbasiBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Mohammad AbbasalizadehStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Mahdi MohammaditabarBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Morteza GholipourBone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

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6 · The paper itself

Abstract

Elbow dislocation with fractures of the coronoid process and radial head, known as ``terrible triad injury'' (TTI), is a serious injury that is common in adults but rare in children. This report describes the case of a 9-year-old girl who experienced TTI after falling from a height of approximately 2 meters. She underwent closed reduction of the dislocation and had a K-wire inserted to stabilize her radial head, with removal after 3 weeks, followed by rehabilitation, resulting in satisfactory recovery of elbow joint motion at the 3-month follow-up. This case demonstrates that successful outcomes can be achieved through careful evaluation, appropriate imaging, and individualized treatment plans, while highlighting the need for prompt recognition and treatment to reduce complications like stiffness and arthritis in this rare pediatric injury pattern.

Indexed as

Elbow dislocationElbow injuryFracturePediatricRadial headTerrible triad injuryUlnar coronoid process

Identifiers

PMID40677865

DOI10.1016/j.radcr.2025.05.080

PMCPMC12268023

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.