{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T17:56:48Z","timestamp":1773597408808,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the effect of surgical repair of the medial collateral ligament and ulnar nerve release in cases of terrible triad injuries of the elbow. \\r\\nMethods: This study included 16 patients (average age: 34 years) who underwent surgery following a diagnosis of terrible triad injury of the elbow between 1996 and 2007. Average follow up was 34.5 months. In all cases, the radial head was first fixed or replaced and the anterior capsule\/coronoid complex and lateral collateral ligament were repaired. The medial side of the elbow was addressed (medial collateral ligament repair and ulnar nerve release) in 8 cases and not addressed in the remaining 8 cases. Range of motion, pain, stability, ulnar nerve symptoms, functional Mayo Elbow Performance Index, and Disabilities of the Arm, Shoulder and Hand scores were documented. Serial X-rays were used to confirm ulnohumeral arthritis and development of ectopic calcification. Ultrasonography or MRI was used to detect ulnar nerve entrapment. \\r\\nResults: Range of motion was slightly more limited in cases where the medial side was not addressed. Ulnohumeral range of motion and flexion degrees were higher in the cases where the medial side was addressed (p&lt;0.05). Serial X-rays demonstrated impending ectopic calcification located at the proximal insertion of medial collateral ligament in patients who did not undergo medial side repair. MRI or ultrasonography confirmed these findings, revealing swollen displaced nerves resembling findings similar to cubital tunnel syndrome. \\r\\nConclusion: Ulnar neuropathy is a common complication after medial collateral ligament injury and prophylactic release will facilitate overall results and postoperative patient satisfaction.\n\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 dirsek k\u00f6t\u00fc \u00fc\u00e7leme yaralanmal\u0131 olgularda medial kollateral ligaman\u0131n cerrahi onar\u0131m\u0131 ve ulnar sinirin gev\u015fetilmesinin etkilerini de\u011ferlendirmekti. \\r\\n\u00c7al\u0131\u015fma plan\u0131: 1996-2007 y\u0131llar\u0131 aras\u0131nda, dirsekte k\u00f6t\u00fc \u00fc\u00e7leme tan\u0131s\u0131yla ameliyat edilen 16 hasta (ortalama ya\u015f: 34) \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Hastalar\u0131n ortalama takip s\u00fcresi 34.5 ay idi. T\u00fcm hastalarda radius ba\u015f\u0131 tespiti\/protezi, \u00f6n kaps\u00fcl\/koronoid bile\u015fkesi onar\u0131m\u0131, lateral kollateral ligaman onar\u0131m\u0131 yap\u0131ld\u0131ktan sonra; dirsek mediali 8 hastada onar\u0131ld\u0131 (medial kollateral ligaman onar\u0131m\u0131 ve ulnar sinir gev\u015fetmesi), kalan 8 hastada ise onar\u0131lmad\u0131. Hareket a\u00e7\u0131kl\u0131\u011f\u0131, a\u011fr\u0131, stabilite, ulnar sinir belirtileri, fonksiyonel Mayo dirsek performans\u0131 indeksi ve Kol, Omuz ve El Sorunlar\u0131 (DASH) skorlar\u0131 de\u011ferlendirildi. Ulnohumeral artroz ve ektopik kalsifikasyonlar grafilerle de\u011ferlendirildi, ulnar sinir s\u0131k\u0131\u015fma MRG ve ultrasonografi bulgular\u0131 ile tespit edildi. \\r\\nBulgular: Medial onar\u0131m uygulanmayan hastalarda hareket a\u00e7\u0131kl\u0131\u011f\u0131 nispeten azd\u0131. Ulnohumeral hareket ve fleksiyon dereceleri her iki grup aras\u0131nda medial onar\u0131m yap\u0131lan grup lehine istatistiksel olarak anlaml\u0131 bulundu (p&lt;0.05). Onar\u0131m uygulanmayan hastalarda, ard\u0131\u015f\u0131k grafilerde, medial kollateral ligaman\u0131n proksimal yap\u0131\u015fma yerinde b\u00fcy\u00fcyen ektopik kalsifikasyon odaklar\u0131 saptand\u0131. MRG ve ultrasonografi bu bulgular\u0131 do\u011frulad\u0131 ve k\u00fcbital t\u00fcnel sendromunu and\u0131ran \u00f6demli ve yer de\u011fi\u015ftirmi\u015f sinirleri ortaya koydu. \\r\\n\u00c7\u0131kar\u0131mlar: Ulnar n\u00f6ropati, medial kollateral ligaman yaralanmas\u0131nda s\u0131k g\u00f6r\u00fclen bir komplikasyondur ve profilaktik olarak gev\u015fetilmesi ameliyat sonras\u0131 hasta tatmininde \u00f6nemli yer tutmaktad\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2012.2632","type":"journal-article","created":{"date-parts":[[2012,4,13]],"date-time":"2012-04-13T07:32:17Z","timestamp":1334302337000},"page":"96-101","source":"Crossref","is-referenced-by-count":32,"title":["The effect of medial side repair in terrible triad injury of the elbow"],"prefix":"10.5152","volume":"46","author":[{"given":"Tulgar","family":"Toros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Ozaksar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahir","family":"Sadik Sugun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Kayalar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emin","family":"Bal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sait","family":"Ada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2589\/2545","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:21Z","timestamp":1763465241000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2012,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2632","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}