Terrible triad: a step-by-step plan
Demo Faculty Panel · 60 mins
View sessionOrthopedic Specialty
Elbow
A small joint with a narrow margin for error.
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Overview
Elbow at a glance
Elbow surgery demands precise articular restoration and early motion; stiffness is the default complication.
The hub covers terrible-triad management, arthroscopic release and arthroplasty indications.
Common conditions
Presentations that dominate the clinic and emergency workload in this subspecialty.
Terrible triad injury
Dislocation with radial head and coronoid fractures.
Distal humerus fracture
Intra-articular comminution in bimodal age distribution.
Lateral epicondylitis
Recalcitrant tendinopathy failing structured non-operative care.
Post-traumatic stiffness
Capsular contracture and heterotopic ossification.
Cubital tunnel syndrome
Ulnar neuropathy with intrinsic weakness in advanced cases.
Procedures
Core operative procedures, from day-care work to complex reconstruction.
Radial head replacement
Restoring the lateral column when repair is not feasible.
Open reduction internal fixation
Parallel or orthogonal plating of the distal humerus.
Arthroscopic capsular release
Motion restoration with nerve-safe portal discipline.
Ulnar nerve transposition
Subcutaneous or submuscular based on stability.
Total elbow arthroplasty
Selected inflammatory and low-demand fracture cases.
Surgical techniques
Technical detail and decision points discussed by faculty in this hub.
Olecranon osteotomy exposure
Articular visualisation with a planned fixation strategy.
Lateral collateral ligament repair
Isometric point fixation to restore stability.
Coronoid fixation sequencing
Fix deep to superficial to avoid blocking access.
Hinged external fixation
Protecting repair while permitting early motion.
Latest innovations
Devices, workflows and technology changing how this subspecialty is practised.
Anatomic-contour distal humerus plates
Reduced hardware prominence and better fit.
Convertible radial head systems
Modularity for revision without full removal.
Early-motion splint protocols
Static-progressive orthoses printed to patient scans.
Research
Community research threads currently active in this specialty.
Heterotopic ossification prophylaxis
Indomethacin versus observation in a demo series.
Arc of motion after triad repair
Functional thresholds at one year.
PRP in epicondylitis
Pain scores compared against corticosteroid.
Thesis
Postgraduate thesis work shared with the community.
Outcome of neglected elbow dislocation
Open reduction results in delayed presentations.
Ulnar nerve handling in distal humerus fixation
In-situ release versus transposition.
Related webinars
One-hour, case-based sessions led by practising orthopedic faculty.
The stiff elbow
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View sessionEducational resources
Guidelines, atlases and checklists curated for this subspecialty.
Atlas
Elbow exposure atlas
Posterior, lateral and medial approach maps.
Checklist
Stability testing checklist
Intra-operative assessment sequence.
Video
Release technique video
Arthroscopic anterior capsulectomy.
Guideline
Rehabilitation guideline
Motion-first protocols after fixation.