The terrible triad of elbow, initially named by Hotchkiss, is a combination of dislocation of elbow, along with the fracture of radial head and coronoid process. The management of such injuries is to restore the stabilizing bony structures of the elbow, if not treated appropriately can lead to stiffness, post-traumatic arthritis and pain. So, the sequence of fixation is mobilization of the radial head fragments and fixation of coronoid fracture, fixation or replacement of radial head or neck fracture, and reattachment of the Lateral Collateral Ligament origin to lateral epicondyle. We are reporting one such case, of a male of 50 years, and have discussed mechanism of injury, clinical presentation, management and prognosis.