# An Atypical Presentation of Terrible Triad Injury in a Healthy 51-Year-Old Female Patient

**Authors:** Andrew Lew, Suleman Janjua

PMC · DOI: 10.7759/cureus.79834 · Cureus · 2025-02-28

## TL;DR

A 51-year-old woman with no major health issues suffered a rare elbow injury from a minor fall and made a successful recovery after surgery and rehabilitation.

## Contribution

This case report presents a rare 'terrible triad' injury in a healthy patient with a low-energy fall and highlights effective treatment strategies.

## Key findings

- The patient showed excellent short-term outcomes after surgical and rehabilitative treatment.
- The injury occurred in a patient without significant comorbidities and from a low-energy fall.
- Early intervention and interprofessional collaboration were key to successful management.

## Abstract

A left elbow fracture-dislocation in a 51-year-old female patient following a backward fall at home presented with a comminuted radial head fracture, coronoid fracture, and ruptured collateral ligaments. The patient underwent open reduction and internal fixation (ORIF) with a long-arm splint. Post surgery, aggressive rehabilitation was initiated to restore the range of motion (ROM). Compared to previous reports, this case demonstrates successful management of a severe elbow injury with excellent short-term outcomes. This case highlights the occurrence of the terrible triad in a patient without significant comorbidities and a low-energy fall, as well as the importance of early intervention, proper imaging, and interprofessional collaboration in managing such rare presentations.

## Full-text entities

- **Diseases:** dislocation (MESH:D004204), radial head fracture (MESH:D000092467), Triad Injury (MESH:C565803), coronoid fracture (MESH:D050723), left elbow fracture- (MESH:D000092482), elbow injury (MESH:D000092464)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11955215/full.md

## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC11955215/full.md

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Source: https://tomesphere.com/paper/PMC11955215