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一名51岁健康女性患者的可怕三联征损伤的非典型表现。

An Atypical Presentation of Terrible Triad Injury in a Healthy 51-Year-Old Female Patient.

作者信息

Lew Andrew, Janjua Suleman

机构信息

Sports Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.

Sports Medicine, Ascension Providence Hospital, Southfield, USA.

出版信息

Cureus. 2025 Feb 28;17(2):e79834. doi: 10.7759/cureus.79834. eCollection 2025 Feb.

DOI:10.7759/cureus.79834
PMID:40161070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11955215/
Abstract

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.

摘要

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。

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本文引用的文献

1
Management of Elbow Terrible Triad Injuries: A Comprehensive Review and Update.
J Am Acad Orthop Surg. 2024 Oct 1;32(19):e982-e995. doi: 10.5435/JAAOS-D-24-00310. Epub 2024 Aug 13.
2
Terrible triad injuries are no longer terrible! Functional outcomes of terrible triad injuries: a scoping review.恐怖三联征损伤不再可怕!恐怖三联征损伤的功能结局:一项范围综述。
JSES Rev Rep Tech. 2022 Feb 12;2(2):214-218. doi: 10.1016/j.xrrt.2022.01.002. eCollection 2022 May.
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Terrible triad of the elbow and associated variants: a systematic review.肘关节恐怖三联征及相关变异:一项系统综述
JSES Rev Rep Tech. 2021 Dec 4;2(2):205-213. doi: 10.1016/j.xrrt.2021.10.004. eCollection 2022 May.
4
Terrible triad injury of the elbow: a historical perspective.肘部三联征损伤:历史视角。
Int Orthop. 2022 Oct;46(10):2265-2272. doi: 10.1007/s00264-022-05472-4. Epub 2022 Jun 20.
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Terrible triad injuries of the elbow.肘部的可怕三联征损伤。
Emerg Radiol. 2019 Jun;26(3):341-347. doi: 10.1007/s10140-019-01676-1. Epub 2019 Jan 28.
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Complications of treating terrible triad injury of the elbow: a systematic review.肘部可怕三联征损伤治疗的并发症:一项系统评价
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Terrible triad of the elbow.肘部恐怖三联征
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Rehabilitation considerations in the management of terrible triad injury to the elbow.肘关节严重三联损伤管理中的康复考量
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Terrible triad injury of the elbow: current concepts.肘部恐怖三联征损伤:当前概念
J Am Acad Orthop Surg. 2009 Mar;17(3):137-51. doi: 10.5435/00124635-200903000-00003.
10
Standard surgical protocol to treat elbow dislocations with radial head and coronoid fractures.治疗伴有桡骨头和冠状突骨折的肘关节脱位的标准手术方案。
J Bone Joint Surg Am. 2004 Jun;86(6):1122-30. doi: 10.2106/00004623-200406000-00002.