Kani Kimia Khalatbari, Chew Felix S
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.
Emerg Radiol. 2019 Jun;26(3):341-347. doi: 10.1007/s10140-019-01676-1. Epub 2019 Jan 28.
Terrible triad injury of the elbow is a complex injury that is classically defined as elbow dislocation along with fractures of the coronoid process of the ulna and the radial head. The injury is usually associated with typical soft-tissue disruptions (with common involvement of the lateral collateral ligament complex, elbow joint capsule, as well as the common extensor and flexor-pronator tendons) that are best understood in the context of injury mechanism as well as the role and relevance of the various elbow stabilizers. The goals of this article are to review the pertinent anatomy, mechanism of injury, classification and imaging of terrible triad injuries of the elbow with brief descriptions of treatment, and complications of this complex injury.
肘关节恐怖三联征损伤是一种复杂的损伤,传统上定义为肘关节脱位伴尺骨冠状突骨折和桡骨头骨折。这种损伤通常伴有典型的软组织断裂(外侧副韧带复合体、肘关节囊以及伸肌总腱和屈肌-旋前圆肌肌腱常受累),从损伤机制以及各种肘关节稳定结构的作用和相关性的角度来理解这些软组织断裂是最好的。本文的目的是回顾肘关节恐怖三联征损伤的相关解剖结构、损伤机制、分类和影像学表现,并简要描述其治疗方法及这种复杂损伤的并发症。