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Pediatric Terrible Triad Injury of the Elbow: A Rare and Easily Missed Injury

A Case Report

Rooke, Gareth M.J., MBChB, MSc1; Maarschalk, Jeremy A., MBBS, MRCS(Ed)2; Navarre, Pierre, MDCM, FRCS(C)3

doi: 10.2106/JBJS.CC.18.00114
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Disclosures

Case: We report the case of a pediatric terrible triad injury of the elbow consisting of an ulnohumeral dislocation, a radial neck fracture, and a coronoid chondral injury, which was diagnosed at 14 days following injury. We describe our surgical technique and provide details of the postoperative course, including the development of a rotational contracture following heterotopic ossification.

Conclusion: We describe a rare and challenging injury that should be recognized early and managed surgically to maintain acceptable elbow function.

1Department of Orthopaedics, Wellington Regional Hospital, Wellington, New Zealand

2Department of Plastic Surgery, Waikato Hospital, Hamilton, New Zealand

3Department of Orthopaedics, Southland Hospital/University of Otago, Invercargill, New Zealand

E-mail address for P. Navarre: navarre.pierre@gmail.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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