Kumar Vishal, Kumar Avinash, Aggarwal Sameer
Department of Orthopedic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Chin J Traumatol. 2015;18(6):363-6. doi: 10.1016/j.cjtee.2015.06.003.
Radial head and coronoid fractures without posterior dislocation of the elbow have not been recorded in the literature. There is no literature documenting the combined fractures of the radial head, capitellum and coronoid process together in the same elbow. This is a case report highlighting this combination of fractures in a 30 year old patient treated with open reduction and internal fixation of all three fractures. The patient was followed up for 28 months and had a good range of motion of the elbow without any instability. Thus such a triad with no ligamentous injuries could depict a bony variant of terrible triad and a mechanism for such an injury has also been explained.
文献中未记载过无肘关节后脱位的桡骨头和冠突骨折。也没有文献记录同一肘部同时出现桡骨头、肱骨小头和冠突联合骨折的情况。本文报告了一例30岁患者的这种联合骨折病例，对所有三处骨折均进行了切开复位内固定治疗。对该患者进行了28个月的随访，其肘关节活动范围良好，无任何不稳定情况。因此，这种无韧带损伤的三联征可能代表了恐怖三联征的一种骨质变异情况，本文还解释了这种损伤的机制。
