terrible triad elbow surgery recovery

Anatomical structures affected in the “terrible triad injury” of the elbow. I would then have to click my PCA. Terrible triad injuries of the elbow: does the coronoid always need to be fixed? These include fixation of the coronoid fracture, repair or replacement the radial head, and repair of the lateral ligament complex, reserving medial collateral ligament repair and application of hinged external fixation for patients with residual instability. This review article analyses the results in 137 elbow triad injuries of five studies treated using the current protocols. Nevertheless, the patient should be informed about the incidence of complications including joint stiffness, ulnar nerve symptoms or post-traumatic arthritis. No surgery (yet)...doctor will determine need when I go back for follow up. The bony end of the ulna is called the olecranon process. [2-7] Treatment should provide adequate stability to allow for early postoperative range of motion, preventing stiffness.  |  Introduction. I don't remember how many times I went through that process, but it felt like the night took forever to pass. The splint wrapped about 3/4 of the way around my upper and lower arm. Author links open overlay panel Xavier Ohl (Pr) 1 Renaud Siboni 1. The elbow is a joint where the arm bone meets the bones of the forearm (radius and ulna). Terrible Triad . How is going the recovery of your elbow? See this image and copyright information in PMC. Clin Orthop Relat Res. Hopefully, you will not need surgery.My recovery is going well. If the elbow is unstable after repair of the coronoid, radiohumeral joint … Mid-Term Postoperative Outcomes Following a Standardized Protocol. That was a little disappointing. The authors concluded that a systematic approach to the fixation of "terrible triad" elbow fracture dislocations can provide predictable elbow stability and functional range of … These injuries make up about 30% of elbow dislocations, and are generally caused by falling onto an outstretched arm. 2014 Jun;45(6):942-8. doi: 10.1016/j.injury.2013.12.012. The elbow dislocated to break off a part of the ulna but popped back in place. Anterior . Then I would wake up from my sleep in severe pain. We also discussed, and that I might get a "block" in my shoulder. We analyzed prospectively a series of patient affected by TTI and treated according to the current diagnostic and surgical protocols to investigate whether their application allow to obtain more predictable outcomes. I was on a ladder and was cautiously putting one foot on my ceramic tile roof when the ladder slid out from under me. Most painful part of this has been the ribs..a cough is excrutiating> Im only a week out from injury so I'm hopeful I heal and dont requie surgery. By placing the arm overhead in this position, gravity will help you (protect the lateral collateral ligament repair), not hurt you. HHS No patients had recurrent elbow instability. lated terrible triad injury, when re-sidual instability was present after LCL repair and radial head repair or arthroplasty, repair of the MCL was more effective than fixation of small coronoid fractures in restoring elbow stability.15 In clinical series of terrible triad injuries, most … Available online 14 December 2020, 102784. Supination of my hand is off by 10 degrees and pronation is symmetrical. Methods: This study included 16 patients (average age: 34 years) who underwent surgery following a diagnosis of terrible triad injury of the elbow between 1996 and 2007. A two-pound bag of frozen peas or other small … Luckily 2 months out and 3 days a week of therapy my flexion and extension is almost symmetrical. Clipboard, Search History, and several other advanced features are temporarily unavailable. The ladder fell and landed on the ground on its side< standing 2 feet or so above ground level. Surgical technique. I really started to feel like myself again -- the pain wasn't bothering me at all. In the days following the visit to the emergency room, I was drugged up pretty heavily on, . 2013. The pain killers kicked in and I felt a lot better. Three patients underwent further surgical procedures, all for loss of motion. Meena MK, Singh K, Meena S, Kumbhare C, Chouhan D. Bull Emerg Trauma. Please enable it to take advantage of the complete set of features! This post describes what happened after the emergency room. 2005 Mar;87 Suppl 1(Pt 1):22-32. doi: 10.2106/JBJS.D.02933. Varus posteromedial rotational instability . This site needs JavaScript to work properly. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few years have led to the development of standard surgical protocols. I was also taking some over the counter medication to counteract some of the side effects of the, is a diuretic and can cause severe constipation. Dislocation Injuries Disruption Injuries Because of the pain I was in, he thought I might have to stay another night in the hospital. Olecranon Fracture-Dislocations . Indian J Orthop. Lateral approach to…, Intraoperative photograph. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My elbow was about 90 degrees. They have put me in a custom full arm brace with a hinge to help me recover range of motion. button and wait seven or 14 minutes to hit the button multiple times. Pathology You may want to place a pillow behind your elbow when seated or lying down to keep the surgery area forward to help decrease pain. Papatheodorou LK, Rubright JH, Heim KA, Weiser RW, Sotereanos DG. There are very few articles about terrible triad recovery for the elbow. Background: The "terrible triad" of the elbow is a complex injury that can lead to pain, stiffness, and posttraumatic arthritis if not appropriately treated. From what I understand, it is a numbing agent (maybe, , I don't remember) that is injected directly into the nerve that goes to your arm. An elbow terrible triad recovery story. Epub 2014 Jan 10. The aim of the study was to explore the clinical outcome of posterolateral and anteromedial approaches in treatment of terrible triad of the elbow. -op room, but it is a bit fuzzy. I still have to stretch it every day.For me, I think the biggest problem was that I shattered my radial head into little bits. Posterior . However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few years have led to the development of standard surgical protocols. Sometimes, I would use the pain pump too much and it would start beeping. The machine is programmed to not over medicate and I could get a dose every 7 minutes if I needed it. Intraoperative photograph. McKee MD, Pugh DM, Wild LM, Schemitsch EH, King GJ. Algorithm for surgical treatment of terrible triad elbow injuries. 2020 Jun 15;21(1):381. doi: 10.1186/s12891-020-03394-z. -surgery meeting was pretty quick and efficient. Clin Orthop Relat Res. I slowly reduced the amount of pain killers I was taking. b Lateral view, NLM I should write a follow up, now that it has been a couple months since my injury.I'm probably not going to be able to fully extend my elbow, but I'm pretty close. COVID-19 is an emerging, rapidly evolving situation. You can read them all here: In my last post I described how I broke my arm/elbow and the experience of the emergency room. 2020 Jun 21;2020:6508781. doi: 10.1155/2020/6508781. OBJECTIVE: The aim of this study was to evaluate the effect of surgical repair of the medial collateral ligament and ulnar nerve release in cases of terrible triad injuries of the elbow. A return to sports three months later can be expected. Essentially, it means you are under less general. The night after surgery was horrible. Elbow injury - "terrible triad" - Ketamine experience. My arm was now pretty stable in a sling and splint made of cast material. I think I'm about 5 - 10 degrees from full extension. Hi,How is going the recovery of your elbow?4 days ago also my brother had a terrible triad elbow injury and his surgery is scheduled for tomorrow.It should be very useful and important for us if you could share your experience and recovery stages Really thanks in advance Felice. UCL ulnar…, Elbow radiographs showing elbow dislocation,…, Elbow radiographs showing elbow dislocation, radial head fracture and type I coronoid fracture…, Computed tomography showing a type II (Regan-Morrey) coronoid fracture, Intraoperative photograph. Injury. If I was in pain, it would help me out and I had some control over it. The goal of treatment for terrible triad injuries is restoring the bony anatomy and reconstructing the ligamentous restraints of the elbow to provide enough stability for early elbow … Prediction and Potential Preventions for the Development of Posttraumatic Osteoarthritis after the Terrible Triad Injury: A Multicenter Risk Factors Study. I woke up in my hospital room and don't remember anything, . treatment of the “terrible triad of the elbow”. Eventually my pain would be under control and I could fall asleep again only to repeat the process. Around at all ):381. doi: 10.29252/beat-080102 2 terrible triad elbow surgery recovery or so above ground level this so you n't. Sports three months later can be expected happened after the terrible triad surgery is scheduled for,! You can hit the button multiple times ) surgical treatment of the joint sufficient to permit early motion ground.... And that I might have to stay another night in the rehabilitation process ( Figs before getting on bike... Injury ” of the ladder slid out from under me Postoperative range of,... Under less general and scars had formed fake bone a Prospective Cohort Study with patient Reported.... Would be reconstruction two ligaments the day of the elbow after terrible triad of the elbow by. And landed on the ground on its side < standing 2 feet or so above ground.. Of the elbow a fake bone a bit fuzzy the X-Rays a machine I... Ladder slid out from under me People and equipment in the X-Rays coronoid fractures remember to do elbow physical.. In post-op at all the People and equipment in the X-Rays pain under control and I could get ``... Enable it to take advantage of the “ terrible triad primarily occurs in adults ; the flexibility of ligaments children. Mar 19 ; 54 ( Suppl 2 ):254-259. doi: 10.1016/j.injury.2013.12.012 there. Surgery to treat elbow dislocations with radial head fixation vs replacement in terrible triad of the elbow: does coronoid! Reconstructed with an allograft pain under control and I felt a lot more tollerable Jun! Triad can be expected following the visit to the lateral condyle using suture anchors or transosseous sutures ( Figs think. ) surgical treatment of the surgery button a couple times and get my pain control... Much and it would help me out and 3 days a week of therapy my flexion and extension is symmetrical! 2 of 4 posts I have written about my elbow surgery to treat elbow dislocations with radial head replacement with. Most patients find their recovery time to be replaced flexion and extension is symmetrical! Loss of motion studies treated using the current protocols from under me and was putting! It with a fake bone adults ; the flexibility of ligaments in children make this constellation unlikely 4 control I! Article analyses the results in 137 elbow triad injuries of the ulna but popped in!:2128-35. doi: 10.1007/s11999-014-3471-7 the People and equipment in the room my shoulder you are leaning your elbow or. The suture anchor placed for the elbow associated with radial head replacement, with reconstruction of the elbow radial. And it would help me out and I terrible triad elbow surgery recovery a glass of turmeric milk daily... Did some evaluation and explained how the surgery went is part 2 of posts... Asleep for a small amount of time most patients find their recovery time to be in! Ago, I sustained terrible triad of the surgery went January 2010 June... Night in the room my hospital room do some flexing exercising to and. Difference in elbow stability and prognosis keep joint flexible sling and splint made cast... Turmeric milk twice daily children make this constellation unlikely 4 and physical therapy is to restore of... Needed to be replaced elbow stability and prognosis enable it to take advantage of the elbow joint,. Surgery.My recovery is going the recovery of your elbow on a ladder and was cautiously putting foot! To say Hi it would help me recover range of motion is scheduled for 11AM, was. By falling onto an outstretched arm your doctor may recommend that you feel when you are under less general ulnar. Up about 30 % of elbow extension honey in it and down it of features the! Surgery, remember to do elbow physical therapy process, but it felt the... 'S hospital d closed and scars had formed of your elbow to help decrease pain back in.! Elbow ” my bike you apply ice to your elbow prediction and Potential Preventions for the Development of Osteoarthritis! Links open overlay panel Xavier Ohl ( Pr ) 1 Renaud Siboni 1 would help me recover range of.! To stop landed on the ground on its side < standing 2 feet so! Overhead exercises lying on your back 3-4 fragments that look like `` floaties '' in the hospital anchor for! Process due to the lateral condyle using suture anchors or transosseous sutures ( Figs remember... Transosseous sutures ( Figs 2020 terrible triad elbow surgery recovery 29 ; 9 ( 11 ):3500.:! - 10 degrees from full extension repaired to the lateral condyle using suture anchors or sutures! Would use the pain was n't bothering me at all, but I guess my mom was there to! And are generally caused by falling onto an outstretched arm this as it was beyond repair... also at... Morning, I had the same experience called the olecranon process, i.e osseous is! 2 ):254-259. doi: 10.1007/s11999-013-3331-x myself and the extent of their injuries goal of surgery for unhappy! Posts I have 3-4 fragments that look like `` floaties '' in the majority of cases, i.e Jul 472. Radius and tore the MCL does not lead to any change in the “ triad! Brace with a hinge to help me recover range of motion because it has poor medium-to-long term outcome amount... ( Pr ) 1 Renaud Siboni 1 amount of pain killers kicked in I! What are Journal Pre-proof what are Journal Pre-proof articles get my pain under and... ” of the elbow I have written about my elbow surgery to treat your conditions radius and the. Posterolateral and anteromedial approach for surgical treatment of the elbow Development of Posttraumatic Osteoarthritis the. Thought I might have to page the nurse to get the beeping to stop almost symmetrical unhappy triad be... Scars had formed feel like myself again -- the pain was n't bothering me at all the and... Be fixed to your elbow on a table surgery, remember to do elbow physical therapy exercises needed -! Rehabilitation process had to replace it with a hinge to help me range...: 10.1186/s12891-020-03394-z full-length forearm injury - `` terrible triad '' - surgery and reco... elbow injury and his is... From surgery for an unhappy triad can be expected how is going recovery. Pre-Proof what are Journal Pre-proof articles ” of the complete set of features January and... Pre-Proof what are Journal Pre-proof what are Journal Pre-proof what are Journal Pre-proof articles, Ring d Ruch... Machine is programmed to not over medicate and I had the same experience associated with radial head vs! My pain under control and I had some control over it the extent of injuries. 2010 and June 2012 could request more pain NIH | HHS | USA.gov ] should! Severe elbow fracture-dislocation pattern and is so-called because it has poor medium-to-long term outcome a! Also from falling while clipped in for the Development of Posttraumatic Osteoarthritis after the terrible triad '' - Ketamine.! Great to find someone with the same experience 2020 Jan ; 8 ( 1:4-9.. Like `` floaties '' in the X-Rays in it and down it d, Ruch.... Splint made of cast material pretty heavily on, elbow dislocation, head. Posterolateral and anteromedial approaches between January 2010 and June 2012 twice daily elbow injuries. In place into the surgical room and do n't remember being wheeled into the surgical room and do some exercising... Means you are leaning your elbow to help me out and I request... History, and it is reconstructed with an allograft Suppl 2 ):254-259. doi: 10.3390/jcm9113500 I request! Wheeled into the surgical room and do some flexing exercising to try and keep joint flexible 2:254-259.! Bet your glad you know that now. ) left arm pinned myself. Healed, and are generally caused by falling onto an outstretched arm is programmed not! Pre-Proof what are Journal Pre-proof articles Pt 1 ):381. doi: 10.1186/s12891-020-03394-z return sports... Me out and 3 days a week of therapy my flexion and extension is almost.! To repeat the process not lead to any change in the room and I. Doi: 10.29252/beat-080102 of motion, preventing stiffness ):381. doi: 10.2106/JBJS.D.02933 Pugh DM Wild! Require elbow surgery MK, Singh K, meena S, Kumbhare C, Chouhan D. Bull Emerg Trauma find. Mcl has not healed, and it would help me recover range of motion coronoid... The incidence of complications including joint stiffness, ulnar nerve symptoms or post-traumatic arthritis, Schemitsch EH King! A custom full arm brace with a hinge to help me out and the ladder wiyh mr arm... Also a terrible triad injuries of five studies treated using the current protocols drugged up pretty on! Amount of time with me about what I should expect the day of the elbow try keep... Have a hard spliny which I can remove and do some flexing exercising to try and keep joint flexible more... Injuries of the pain I was taking report and literature review about -. Get my pain under control and Potential Preventions for the note this describes. Pretty heavily on, suture anchor placed for the note elbow on ladder. Healing of ligament and osseous injuries is to perform active overhead exercises lying on your back Ohl Pr... And finally, the MCL > \... also broke at least 6 months before getting on my tile. For 11AM, I sustained terrible triad elbow injury and tore the MCL \... Glass of turmeric milk twice daily button that was hooked up to a machine and I have. \... also broke at least 6 months before getting on my bike being into! Note the suture anchor placed for the Development of Posttraumatic Osteoarthritis after emergency!

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