Bisadi Amir, Abbasi Fatemeh, Abbasalizadeh Mohammad, Mohammaditabar Mahdi, Gholipour Morteza
Bone Joint and Related Tissues Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Mazandaran, Iran.
Radiol Case Rep. 2025 Jun 26;20(9):4651-4657. doi: 10.1016/j.radcr.2025.05.080. eCollection 2025 Sep.
Elbow dislocation with fractures of the coronoid process and radial head, known as ``terrible triad injury'' (TTI), is a serious injury that is common in adults but rare in children. This report describes the case of a 9-year-old girl who experienced TTI after falling from a height of approximately 2 meters. She underwent closed reduction of the dislocation and had a K-wire inserted to stabilize her radial head, with removal after 3 weeks, followed by rehabilitation, resulting in satisfactory recovery of elbow joint motion at the 3-month follow-up. This case demonstrates that successful outcomes can be achieved through careful evaluation, appropriate imaging, and individualized treatment plans, while highlighting the need for prompt recognition and treatment to reduce complications like stiffness and arthritis in this rare pediatric injury pattern.
伴有冠状突骨折和桡骨头骨折的肘关节脱位，即所谓的“恐怖三联征损伤”（TTI），是一种严重损伤，在成人中常见，但在儿童中罕见。本报告描述了一名9岁女孩的病例，她从约2米高处坠落，导致TTI。她接受了脱位的闭合复位，并插入一根克氏针来稳定桡骨头，3周后取出，随后进行康复治疗，在3个月的随访中肘关节活动恢复良好。该病例表明，通过仔细评估、适当的影像学检查和个性化的治疗方案可以取得成功的治疗效果，同时强调了对于这种罕见的儿童损伤类型，需要及时识别和治疗，以减少诸如僵硬和关节炎等并发症。
