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Terrible triad of the elbow: evaluation of surgical treatment()

OBJECTIVE: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function. METHODS: A group of patients for retrospective analysis from 2004...

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Autores principales: Galbiatti, José Antonio, Cardoso, Fabrício Luz, Ferro, James Augusto Soares, Godoy, Rafael Cassiolato Garcia, Belluci, Sérgio de Oliveira Bruno, Palacio, Evandro Pereira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052181/
https://www.ncbi.nlm.nih.gov/pubmed/30027079
http://dx.doi.org/10.1016/j.rboe.2018.05.012
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author Galbiatti, José Antonio
Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio de Oliveira Bruno
Palacio, Evandro Pereira
author_facet Galbiatti, José Antonio
Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio de Oliveira Bruno
Palacio, Evandro Pereira
author_sort Galbiatti, José Antonio
collection PubMed
description OBJECTIVE: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function. METHODS: A group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications. RESULTS: There was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment. CONCLUSION: Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients.
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spelling pubmed-60521812018-07-19 Terrible triad of the elbow: evaluation of surgical treatment() Galbiatti, José Antonio Cardoso, Fabrício Luz Ferro, James Augusto Soares Godoy, Rafael Cassiolato Garcia Belluci, Sérgio de Oliveira Bruno Palacio, Evandro Pereira Rev Bras Ortop Original Article OBJECTIVE: This study aims at analyzing retrospectively the clinical-functional and radiographic results of surgical treatment of the terrible elbow triad, with at least 12 months of postoperative follow-up evaluating elbow function. METHODS: A group of patients for retrospective analysis from 2004 to 2015 was defined, in which 12 patients were studied. They underwent surgery due to fracture of the radial head, coronoid fracture, and elbow dislocation; they were evaluated by the Disabilities of the Arm, Shoulder and Hand (DASH) score, the degree of patient satisfaction, the degree of trauma energy, radiographic images, range of motion, and complications. RESULTS: There was a higher incidence of Regan and Morrey type II coronoid process fractures; in relation to the injuries, nine patients had deinsertion of the brachialis. Half of the patients suffered a fall from their own height as the mechanism of trauma. The extent of elbow flexion and extension averaged 126.6 and 24.1 degrees, respectively; the averages for pronation and supination were 64.1 and 62.0 degrees, respectively. All patients presented muscle strength of grade IV or V. The mean DASH score was 14.3, the mean pain score was 2.5, and a majority of the patients were satisfied with the treatment. CONCLUSION: Despite the total loss of range of motion of the elbow, especially in extension, the treatment was satisfactory for most patients. Elsevier 2018-06-11 /pmc/articles/PMC6052181/ /pubmed/30027079 http://dx.doi.org/10.1016/j.rboe.2018.05.012 Text en © 2018 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Galbiatti, José Antonio
Cardoso, Fabrício Luz
Ferro, James Augusto Soares
Godoy, Rafael Cassiolato Garcia
Belluci, Sérgio de Oliveira Bruno
Palacio, Evandro Pereira
Terrible triad of the elbow: evaluation of surgical treatment()
title Terrible triad of the elbow: evaluation of surgical treatment()
title_full Terrible triad of the elbow: evaluation of surgical treatment()
title_fullStr Terrible triad of the elbow: evaluation of surgical treatment()
title_full_unstemmed Terrible triad of the elbow: evaluation of surgical treatment()
title_short Terrible triad of the elbow: evaluation of surgical treatment()
title_sort terrible triad of the elbow: evaluation of surgical treatment()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052181/
https://www.ncbi.nlm.nih.gov/pubmed/30027079
http://dx.doi.org/10.1016/j.rboe.2018.05.012
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