Posterior dislocation of elbow joint suffers from triad of elbow joint terror. How should this disease be treated?

The terrible triad of elbow joint is dislocation of posterior joint of elbow joint, fracture of coronoid process of ulna and fracture of radial head caused by high-efficiency energy injury of upper arm. Because of instability, most of the triad of terror must be treated by surgery, open reduction and internal plastic surgery. Fracture of ulnar coronoid process can be treated by lasso operation and kirschner wire fixation. The slight moving fracture of radial head can be fixed by hollow compression screw, and the serious fracture of radial head can be treated by radial head fusion, and the attached tendons on both sides must be repaired. If the joint is unstable after reduction, the initial elbow joint function exercise can be carried out under the maintenance of external fixator.

Terror triad of elbow joint is not a common disease in medicine, but this kind of injury is more complicated. The key point is that the patient has dislocation of the posterior joint of elbow joint, and fracture of radial capitulum and ulnar coronoid process at the same time, which will destroy the stability of elbow joint. Surgical treatment must be adopted, open reduction can be performed under anesthesia, and internal plastic surgery can be given to repair the anatomical structure of elbow joint and maintain the stability of elbow joint position. Orthopedics and plaster fixation must be used after operation, and initial elbow joint functional exercise should be carried out under the guidance of rehabilitation doctors, so as to avoid traumatic arthritis of elbow joint, muscle atrophy or joint stiffness.

Terror triad of elbow joint is a common injury in traumatic orthopedics in clinical medicine, and it is also a kind of injury that is very lacking in treatment. Terror triad refers to the fracture around the elbow joint caused by violence, including olecranon fracture and radial head fracture, accompanied by dislocation of the elbow joint. During the terrible triad, the tendons around the elbow joint were damaged and the elbow joint was obviously unstable. Therefore, for the terrible triad of elbow joint, surgical treatment should be considered at this stage. According to active surgical treatment, the stability of elbow joint should be restored as much as possible to avoid old elbow instability after operation.

Terror triad of elbow joint is a technical and professional vocabulary, which refers to the dislocation of elbow joint caused by severe trauma of elbow joint, accompanied by fracture of coronoid process in front of ulna and fracture of capitulum radius. It is a fracture with impaired stability of elbow joint, and surgical treatment is usually recommended. Surgical treatment should first reduce dislocation of elbow joint. After reduction, the anterior coronary process fracture must be reduced and fixed. At the same time, bilateral radial capitulum fractures should be reduced and fixed. If it is serious, the radial head should be replaced. In addition, according to the stability of elbow joint after reduction, if the stability is not good, the medial collateral ligament and bilateral collateral tendons can be explored and repaired.