1. A Terrible Quartet Injury of the Elbow: A Terrible Triad Variant with a Capitellar Shear Fracture by P. Maxwell Courtney, Roshan P. Shah, Samir Mehta, and Derek J. Donegan JBJS Case Connect Volume 4(4):e88 October 8, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

2. Anteroposterior (left) and lateral (right) radiographs of the right arm. P. Maxwell Courtney et al. JBJS Case Connect 2014;4:e88 ©2014 by The Journal of Bone and Joint Surgery, Inc.

3. Lateral radiograph demonstrating the “double-arc” sign status after closed reduction in the emergency room. P. Maxwell Courtney et al. JBJS Case Connect 2014;4:e88 ©2014 by The Journal of Bone and Joint Surgery, Inc.

4. Postreduction CT demonstrating the coronoid fracture, the radial head fracture, and the capitellar shear fracture. P. Maxwell Courtney et al. JBJS Case Connect 2014;4:e88 ©2014 by The Journal of Bone and Joint Surgery, Inc.

5. Postoperative anteroposterior (left) and lateral (right) radiographs after open reduction and internal fixation of the capitellum and the coronoid, and replacement of the radial head. P. Maxwell Courtney et al. JBJS Case Connect 2014;4:e88 ©2014 by The Journal of Bone and Joint Surgery, Inc.

6. Anteroposterior (left) and lateral (right) radiographs at the one-year follow-up. P. Maxwell Courtney et al. JBJS Case Connect 2014;4:e88 ©2014 by The Journal of Bone and Joint Surgery, Inc.