{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:48:26Z","timestamp":1787755706819,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 7-year-old girl presented with an elbow terrible triad injury (coronoid fracture, Salter-Harris IV radial head fracture, and lateral collateral ligament avulsion) diagnosed after magnetic resonance imaging was obtained to evaluate subtle subluxation on radiographs. The patient underwent physeal-sparing fixation using the anconeus-extensor carpi ulnaris interval. One year postoperatively, she had full, stable symmetric range of motion compared with the contralateral side without complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pediatric terrible triad injuries are rare, are easily missed, and have poor results after late reconstruction. Subtle radiographic abnormalities may benefit from evaluation with advanced imaging since early diagnosis and treatment can lead to excellent results as demonstrated in this case.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00412","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T14:00:41Z","timestamp":1739455241000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Terrible Triad Injury in a Skeletally Immature Patient"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1197-747X","authenticated-orcid":false,"given":"Oph\u00e9lie","family":"Lavoie-Gagn\u00e9","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5082-1999","authenticated-orcid":false,"given":"Huub","family":"de Klerk","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2616-3652","authenticated-orcid":false,"given":"Krystle R.","family":"Tua\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts"},{"name":"Divison of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9170-4745","authenticated-orcid":false,"given":"Abhiram R.","family":"Bhashyam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"1","key":"bib1-20250213","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s00247-015-3439-0","article-title":"Pediatric elbow fractures: a new angle on an old topic","volume":"46","author":"Emery","year":"2016","journal-title":"Pediatr Radiol."},{"issue":"19","key":"bib2-20250213","doi-asserted-by":"crossref","first-page":"e876","DOI":"10.5435\/JAAOS-D-18-00204","article-title":"Proximal radius fractures in children","volume":"27","author":"Nicholson","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"issue":"5","key":"bib3-20250213","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1097\/BPB.0b013e328354b08c","article-title":"Acute traumatic posterior elbow dislocation in children","volume":"21","author":"Lieber","year":"2012","journal-title":"J Pediatr Orthop B."},{"issue":"1","key":"bib4-20250213","doi-asserted-by":"crossref","first-page":"7030","DOI":"10.4081\/or.2017.7030","article-title":"Radiographic evaluation of common pediatric elbow injuries","volume":"9","author":"DeFroda","year":"2017","journal-title":"Orthop Rev."},{"issue":"3","key":"bib5-20250213","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5312\/wjo.v13.i3.238","article-title":"Diagnosis, treatment and complications of radial head and neck fractures in the pediatric patient","volume":"13","author":"Macken","year":"2022","journal-title":"World J Orthop."},{"key":"bib6-20250213","doi-asserted-by":"crossref","first-page":"988372","DOI":"10.3389\/fped.2022.988372","article-title":"Radial head and neck fractures in children and adolescents","volume":"10","author":"Kalbitz","year":"2022","journal-title":"Front Pediatr."},{"issue":"6","key":"bib7-20250213","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1177\/18632521231211643","article-title":"\u201cUnhappy triad\u201d of the trauma elbow in children: diagnosis, classification, and mid-term outcomes","volume":"17","author":"Langlais","year":"2023","journal-title":"J Child Orthop."},{"issue":"6","key":"bib8-20250213","doi-asserted-by":"crossref","first-page":"e470","DOI":"10.1097\/BPO.0000000000001817","article-title":"Complex fracture-dislocations of the elbow in the pediatric population","volume":"41","author":"Magee","year":"2021","journal-title":"J Pediatr Orthop."},{"issue":"9","key":"bib9-20250213","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1016\/j.jhsa.2013.05.030","article-title":"Pediatric terrible triad elbow fracture dislocations: report of 2 cases","volume":"38","author":"Dailiana","year":"2013","journal-title":"J Hand Surg."},{"issue":"4","key":"bib10-20250213","doi-asserted-by":"crossref","first-page":"e106","DOI":"10.2106\/JBJS.CC.18.00114","article-title":"Pediatric terrible triad injury of the elbow: a rare and easily missed injury: a case report","volume":"8","author":"Rooke","year":"2018","journal-title":"JBJS Case Connect."},{"issue":"9","key":"bib12-20250213","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1007\/s00247-019-04445-x","article-title":"Proximal radius fractures in children: evaluation of associated elbow fractures","volume":"49","author":"Degnan","year":"2019","journal-title":"Pediatr Radiol."},{"issue":"suppl 2","key":"bib13-20250213","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1097\/BPO.0b013e3181c18a9f","article-title":"Elbow \u2018\u201cTRASH\u201d\u2019 (the radiographic appearance seemed harmless) lesions","volume":"30","author":"Waters","year":"2010","journal-title":"J Pediatr Orthop."},{"issue":"6","key":"bib14-20250213","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1590\/1413-785220172506170954","article-title":"Study of secondary ossification centers of the elbow in the BRAZILIAN population","volume":"25","author":"Miyazaki","year":"2017","journal-title":"Acta Ortop Bras."},{"issue":"2","key":"bib15-20250213","first-page":"e55","article-title":"Comprehensive analysis of pediatric elbow radiographic lines and angles","volume":"38","author":"Ba\u0161kovi\u0107","year":"2024","journal-title":"J Orthop Trauma."},{"issue":"3","key":"bib16-20250213","doi-asserted-by":"crossref","first-page":"e210","DOI":"10.1097\/BPO.0000000000001418","article-title":"Intra-articular radial head fractures: a deceptive type of injury","volume":"40","author":"Dragoni","year":"2020","journal-title":"J Pediatr Orthop."},{"issue":"5","key":"bib17-20250213","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1097\/BPO.0000000000000302","article-title":"Intra-articular radial head fractures in the skeletally immature patient: complications and management","volume":"35","author":"Ackerson","year":"2015","journal-title":"J Pediatr Orthop."},{"issue":"suppl 4","key":"bib18-20250213","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1016\/S0020-1383(15)30013-9","article-title":"Isolated pediatric radial head and neck fractures. A rare injury. Analysis and follow up of 19 patients","volume":"46","author":"Kruppa","year":"2015","journal-title":"Injury."},{"issue":"2","key":"bib19-20250213","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/BPO.0b013e31820742de","article-title":"Intra-articular radial head fracture in the skeletally immature patient: progressive radial head subluxation and rapid radiocapitellar degeneration","volume":"31","author":"Van Zeeland","year":"2011","journal-title":"J Pediatr Orthop."},{"issue":"3","key":"bib20-20250213","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1142\/S0218810407003626","article-title":"Intra-articular radial head fracture in a child with an open physis: a case report","volume":"12","author":"Moriya","year":"2007","journal-title":"Hand Surg."},{"issue":"3","key":"bib21-20250213","doi-asserted-by":"crossref","first-page":"e192","DOI":"10.1097\/BPO.0000000000002322","article-title":"Corrective osteotomy for symptomatic radial head and neck malunions in the skeletally immature","volume":"43","author":"Bhashyam","year":"2023","journal-title":"J Pediatr Orthop."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:48:24Z","timestamp":1787752104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00412"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00412","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}