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Terrible Triad Of The Elbow: Clinical Case Study

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1.  What is the terrible triad of the elbow?
  1. Dislocation of the elbow with a radial head and coronoid fracture
  2. Usually includes an LCL injury 
  3. PLRI (Posterolateral rotatory instability) 
  4. All of the above
2.  Terrible triad injuries occur in what percentage of all radial head fractures?
  1. 10%
  2. 20%
  3. 30%
  4. 40%
3.  What is the benefit of an internal joint stabilizer?
  1. Stabilizes the elbow joint while allowing passive and active ROM
  2. Allows for healing of soft tissues and immediate postoperative ROM
  3. Decreased risk of elbow subluxation/dislocation, removes need for external fixation
  4. All of the above
4.  What is not part of internal stabilizer treatment?
  1. Elbow hinge brace with extension block
  2. Flexion to full ROM to tolerance
  3. Maintaining the brace for upwards of 6 months
  4. Strengthening between 6-8 weeks, depending on healing and stability
5.  What is TRUE about conservative treatment?
  1. It is the preferred method for stability.
  2. There are often stability issues.
  3. It results in great mobility for the client.
  4. None of the above

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