Lew Andrew, Janjua Suleman
Sports Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Sports Medicine, Ascension Providence Hospital, Southfield, USA.
Cureus. 2025 Feb 28;17(2):e79834. doi: 10.7759/cureus.79834. eCollection 2025 Feb.
A left elbow fracture-dislocation in a 51-year-old female patient following a backward fall at home presented with a comminuted radial head fracture, coronoid fracture, and ruptured collateral ligaments. The patient underwent open reduction and internal fixation (ORIF) with a long-arm splint. Post surgery, aggressive rehabilitation was initiated to restore the range of motion (ROM). Compared to previous reports, this case demonstrates successful management of a severe elbow injury with excellent short-term outcomes. This case highlights the occurrence of the terrible triad in a patient without significant comorbidities and a low-energy fall, as well as the importance of early intervention, proper imaging, and interprofessional collaboration in managing such rare presentations.
一名51岁女性患者在家中向后摔倒后出现左肘骨折脱位,伴有桡骨头粉碎性骨折、冠突骨折和侧副韧带断裂。患者接受了切开复位内固定术(ORIF)并使用长臂夹板。术后,积极开展康复治疗以恢复活动范围(ROM)。与之前的报告相比,该病例展示了对严重肘部损伤的成功治疗及出色的短期疗效。该病例凸显了在无明显合并症且低能量跌倒的患者中发生“可怕三联征”的情况,以及早期干预、恰当影像学检查和跨专业协作在处理此类罕见病例中的重要性。