Terrible Triad Fracture-Dislocations of the Elbow

Management of terrible triad injuries of the elbow has improved in the last 2 decades based on an understanding of injury patterns, fracture morphology, and management pitfalls. But some intimidation with these injuries remains, in part because some of the surgical techniques are challenging and because there is still debate about certain steps in surgery and choices in management. This article highlights important aspects of the care of terrible triad injuries to clarify the anatomy and patho-physiology, to highlight pitfalls of treatment, and to point out areas that might benefit from innovation.