Jebmh.com Case Report J Evid Based Med Healthc, pISSN - 2349-2562, eISSN - 2349-2570 / Vol. 8 / Issue 31 / Aug. 02, 2021 Page 2919 3 Months Old Post-Traumatic Stiff Elbow Following Terrible Triad Injury - A Case Report and Review of Literature Sisir Kumar Sahoo 1 , A. Ganesh 2 , Nikhil Kumar Sureshkumar Oza 3 , Spandan Mishra 4 , Indraneel De 5 1, 2, 3, 4, 5 Department of Orthopaedics, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Odisha, India. Stiff elbow is a common problem associated with terrible triad injuries which if not managed properly can lead to significant functional limitations. Here we are describing a case of post-traumatic stiff elbow following terrible triad who presented to us after taking native treatment primarily. He was treated with open arthrolysis and prophylactic ulnar nerve decompression along with rigorous physiotherapy including dynamic splinting with hinge elbow bracing. The results were satisfactory in achieving a functional range of movement according to the patient's vocational need. This study aims to present the prompt management of post-traumatic stiff elbow case along with functional improvement postoperatively in a decisive way. Terrible triad injuries are a group of the rare and severely unstable fracture- dislocations following which the chance of recurrent instability, elbow stiffness, and functional limitations increases coherently. 1 To perform normal daily activities, painless motion at the elbow joint is very much necessary and critical. Following a traumatic insult, a cascade of events can lead to a decrease in the normal arc of motion and also cause stiffness of the elbow joint. 2 Over the last two decades, there has been a lot of speculation revolving around the management of terrible triad injuries. 3 Van Riet et al had documented that the majority of the terrible triad injuries need to be managed surgically whereas the non-operative treatment is reserved for a few selected cases. 4 The ones which were not managed adequately had higher chances of turning up into stiff elbow. Post-traumatic elbow stiffness is one of the dreaded complications following terrible triad injuries. 3 The aim of managing the case of post-traumatic stiff elbow is to have a painless, near-normal range of motion which can help the patient to do daily activities by himself. We are presenting a case of post-traumatic type- 4 stiff elbow following native bandage treatment and how prompt management has led to satisfactory results. Corresponding Author: Dr. Sisir Kumar Sahoo, Department of Orthopaedics, Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Odisha, India. E-mail: sisirortho@rediffmail.com DOI: 10.18410/jebmh/2021/533 How to Cite This Article: Sahoo SK, Ganesh A, Oza NKS, et al. 3 months old post-traumatic stiff elbow following terrible triad injury- a case report and review of literature. J Evid Based Med Healthc 2021;8(31):2919- 2922. DOI: 10.18410/jebmh/2021/533 Submission 06-05-2021, Peer Review 13-05-2021, Acceptance 16-06-2021, Published 02-08-2021. Copyright © 2021 Sisir Kumar Sahoo et al. This is an open access article distributed under Creative Commons Attribution License [Attribution 4.0 International (CC BY 4.0)] INTRODUCTION