Comparative analysis of surgical options for medial collateral ligament repair in terrible triad injury of the elbow

Taku Hatta, Shingo Nobuta, Toshitake Aizawa, Koichi Sasajima, Soichi Nakajima, Masahito Honda, Gosuke Oki, Yoshiaki Yamanaka, Eiji Itoi

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


The aim of our study is to evaluate the clinical and radiologic outcomes in patients with terrible triad injury, who underwent surgical treatment with or without the medial collateral ligament (MCL) repair. Fourteen patients who underwent surgery with a minimum of 12-month follow-up (mean, 17 months) were reviewed. Based on the systematic treatment protocol, radial head fracture, lateral collateral ligament, and coracoid fracture were treated. Subsequently, torn MCL was repaired in 7 patients, whereas in the remaining 7 patients, the MCL was not treated. Range of motion, elbow function, and radiographs regarding the arthrosis and heterotopic ossification were assessed. At final follow-up, no significant differences were found in elbow motion or function between the groups with and without MCL repair; except the pronation and supination which had superior range in repair group. In contrast, radiologic findings such as the arthrosis were seen more frequently in patients without MCL repair than those with repair. Our results indicate the effect of MCL repair on elbow motion and function might be small, whereas osteoarthritic changes occurred more frequently in elbows without MCL repair.

Original languageEnglish
Article number6666
Pages (from-to)89-93
Number of pages5
JournalOrthopedic Reviews
Issue number3
Publication statusPublished - 2016 Sep 19


  • Elbow
  • Medial collateral ligament
  • Repair
  • Terrible triad injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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