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The most common pattern of cornoid fracture with a terrible triad injury is a transverse fracture of 2 mm to 3 mm of the tip. The mechanism of injury of a terrible triad injury is typically valgus and supination. These forces force the radial head against and then under the capitellum, resulting in a fracture of the radial head. The coronoid is then driven under the trochlea and sheared off as the valgus force continues. The lateral collateral ligament typically tears next.
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