An Unusual Terrible Triad Variant Associated with an Essex-Lopresti Injury

Essex-Lopresti injuries and terrible triad injuries of the elbow are rare injuries that typically result from high-energy trauma such as falling from a height or a motor vehicle collision. However, the combination of an Essex-Lopresti injury and terrible triad injury is unique and poses a significan...

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Bibliographic Details
Published in:Case reports in orthopedics 2021-01, Vol.2021, p.1-7
Main Authors: Salazar, Luis M., Ghali, Abdullah, Gutierrez-Naranjo, Jose M., Hand, Thomas L., Dutta, Anil K.
Format: Article
Language:English
Subjects:
Case Report
Case reports
Elbow
Fractures
Injuries
Pain
Patients
Traffic accidents
Trauma
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Summary:Essex-Lopresti injuries and terrible triad injuries of the elbow are rare injuries that typically result from high-energy trauma such as falling from a height or a motor vehicle collision. However, the combination of an Essex-Lopresti injury and terrible triad injury is unique and poses a significant challenge for treatment as these injuries are independently associated with poor functional outcomes if they are not acutely diagnosed. We describe a case of a 19-year-old who presented with an unusual variant of a terrible triad injury associated with an Essex-Lopresti injury. The patient had a distal radioulnar joint (DRUJ) and elbow dislocation, a radial head and coronoid process fracture, and a distal radius fracture. Almost a reverse Essex-Lopresti, this injury was successfully managed with open reduction and repair of the distal radius, radial head, and damaged ligaments in the elbow, along with an internal joint stabilizer (IJS).
ISSN:2090-6749
2090-6757
DOI:10.1155/2021/8522303