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SM ISO690:2012 BABALIC, Aliona, VACULA, Ion, GOLUBAȘ, Vasile. Surgical treatment for terrible triad injuries of the elbow. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 374. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 374-374 | ||||||
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Introduction. Elbow dislocation with both radial head and coronoid fractures has been referred to as the „terrible triad injury”. It represent a pattern of complex elbow instability that has been associated with a poor prognosis. Surgical treatment for terrible triad injuries of the elbow remains challenging. Objective of the study. Presentation of the clinical case of surgical treatment for terrible triad injuries of the elbow. Material and Methods. Anamnesis, clinical and paraclinical data were taken from the medical databases. Results. Patient Y, 22, suffered a fall from a bicycle. Clinical examination shows deformity of the right elbow joint, severe pain on palpation and attempts to mobilize the joint. Radiographic and CT Imaging examine established the diagnosis: Posterolateral dislocation of the bones of the right forearm. Masson III radial bonehead fracture and Regan type II coronoid process fracture. The patient underwent surgery urgently: closed reduction of forearm bone dislocation, cemented arthroplasty of the radial head, osteosynthesis of the coronoid process with a screw, suturing of the lateral collateral ligament of the elbow. The patient followed the postoperative regimen. The postoperative functional results were as follows: Fl./Ext.-140/10, Pron./Sup. - 85/80; DASH score-2.5; MEPS score- 100 p. There were no postoperative complications. The patient returned in full volume to his daily activity. Conclusion. The current diagnostic and therapeutic protocols allow obtaining satisfactory clinical outcomes in majority of cases. The strict application of current algorithms by an expert elbow surgeon appears to improve clinical results by reducing the influence of other avoidable negative prognostic factors. |
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Cuvinte-cheie terrible triad injury, leziune teribilă a cotului |
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