Skip to main content
OrthoVellum
Knowledge Hub

Study

  • Topics
  • MCQs
  • ISAWE
  • Operative Surgery
  • Flashcards

Company

  • About Us
  • Editorial Policy
  • Contact
  • FAQ
  • Blog

Legal

  • Terms of Service
  • Privacy Policy
  • Cookie Policy
  • Medical Disclaimer
  • Copyright & DMCA
  • Refund Policy

Support

  • Help Center
  • Accessibility
  • Report an Issue
OrthoVellum

Ā© 2026 OrthoVellum. For educational purposes only.

Not affiliated with the Royal Australasian College of Surgeons.

Hand & Upper Limb
intermediate
X-Type

Elbow Instability Management

Elbow Disorders

A 32-year-old man presents after a fall onto an outstretched arm with subsequent elbow dislocation reduced in the field. Radiographs show a radial head fracture, coronoid tip fracture, and subtle widening of the ulnohumeral joint. On examination, he has a positive pivot-shift test with apprehension during supination and valgus stress. MRI confirms lateral ulnar collateral ligament (LUCL) tear. Regarding elbow instability:

Mark each as TRUE or FALSE

A

Elbow stability depends on osseous (trochlea-olecranon articulation, coronoid, radial head) and liga...

B

The "terrible triad" consists of elbow dislocation, radial head fracture, and coronoid fracture, typ...

C

The medial collateral ligament is the primary lateral stabilizer; the LUCL has no role in stability;...

D

Treatment of terrible triad involves restoration of all three stabilizers: ORIF of radial head if re...

E

Posterolateral rotatory instability (PLRI) presents with supination-valgus apprehension, positive pi...

Answer the questions to see explanations

Click T (True) or F (False) for each option