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terrible triad

The “terrible triad” injury of the elbow involves three types of harm: a fracture of the radial head, a fracture of the coronoid process, and an elbow dislocation. This injury can be complicated and often needs surgery and rehabilitation. Below are 50 common questions patients ask about this elbow injury, with answers:

It means a fracture of the radial head, a fracture of the coronoid process, and an elbow dislocation.

Generally, it happens from a fall on an outstretched hand (FOOSH injury) with the elbow extended.

Symptoms include intense pain, swelling, bruising, lack of elbow movement, and sometimes a visible deformity.

It is diagnosed through physical exams and imaging tests like X-rays and CT scans.

Most patients require surgery because of the injury's complexity to restore stability.

Surgery may include open reduction and internal fixation, radial head replacement, or repairing ligaments.

Healing without surgery is uncommon and only applies to non-displaced fractures or stable joints.

Recovery can take several months, typically 3-4 months for normal activities and up to a year for full recovery.

Many achieve good function with rehab, but some may have long-term limitations in movement.

Complications may include stiffness, instability, arthritis, nerve damage, and fractures not healing.

Surgery usually uses general anesthesia, but regional anesthesia might be an option.

Care includes immobilization, managing pain, physical therapy, and follow-up visits.

Pain is managed with NSAIDs, acetaminophen, or prescribed pain medications.

Physical therapy typically begins in the first few weeks after surgery to aid in recovery.

Movements of fingers and hands are usually encouraged early to maintain function and blood flow.

Use elevation, ice, and any prescribed medications to help reduce swelling and pain.

Return to work depends on your job and could range from weeks to months; lighter duties may be possible earlier.

Initial numbness is common due to swelling, but ongoing symptoms should be checked for nerve issues.

Keep the area clean and dry, watch for infection signs, and follow your surgeon’s care instructions.

Avoid lifting heavy items, pushing, and any activities that stress the elbow until cleared by your doctor.

Full strength recovery may vary depending on individual healing and rehabilitation efforts. Recovery can take months and needs physical therapy and rehab.

Usually, range of motion, strengthening, and functional exercises are advised.

Occupational therapy might be needed to help with fine motor skills and using the arm.

If you have more pain, swelling, redness, fever, numbness, or skin color changes, see a doctor.

Yes, there is a higher chance of getting arthritis in the hurt joint later.

Early therapy helps healing, stops stiffness, and helps regain motion.

Driving is not safe until strength and motion are good in the arm.

Surgery usually works well, but results depend on the injury's severity and how well rehab is followed.

Smoking can slow healing and raise the risk of problems like infections.

Follow-ups are set regularly to check healing; first visits are often in the first week, then every few weeks.

Kids can have these injuries, though it is less common; they need special pediatric care.

Stick to your doctor’s advice, do prescribed exercises, and avoid stress on the healing elbow.

Internal fixation uses metal to stabilize fractures for proper healing.

Surgical cuts usually leave scars, but they can be made to look better.

Nerve damage can happen with serious injuries; get any numbness or weakness checked right away.

Physical therapy can greatly help, but some issues might stay in severe cases.

Getting back to sports depends on the injury type and level; it might take months for full return.

Eating well, not smoking, following rehab plans, and managing health issues aid recovery.

Lifting should be done gradually, and full ability depends on rehab results and doctor's go-ahead.

Yes, not eating well can slow bone healing; make sure you get enough protein, calcium, and vitamins.

Braces are often used after surgery to protect the elbow during early healing.

Diabetes can slow healing and raise risks for complications, so careful monitoring is needed.

Less pain, more motion, and good feedback from exams show progress.

Post-traumatic arthritis can be handled with medicine, physical therapy, and sometimes other treatments. 45. Why are regular check-ins important for healing? They help with correct recovery, spot problems early, and modify treatment plans as needed.

Items to help with dressing, reaching for things, and gripping may make daily tasks easier during recovery.

Good treatment lowers this chance, but some may still face stability problems if rehab is not done properly.

Slow healing can come from poor therapy, not following rehab plans, smoking, or existing health problems.

Use helpful devices, ask for help if needed, and follow advice from occupational therapy for more independence.

Get help right away for intense pain, sudden swelling changes, numbness, fever, or possible infection signs.

Always talk to your healthcare provider for specific guidance and treatment for a serious triad elbow injury.