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Unhappy Triad of the Knee. The unhappy triad is a severe injury which involves damage to three of the four major ligaments in the knee. The unhappy triad, also known as the terrible triad, or o'donoghues triad is a severe knee injury.
Most patients have poorly localized tenderness over the joints, especially the shoulders and hips. Synovitis was once excluded as a feature of giant cell arteritis, but moderate bland effusions can develop in the knees and occasionally other joints (eg, shoulders, wrists).he carotid, axillary, and brachial arteries should be assessed for bruits. Carotid bruits occur in 10-20% of patients with giant cell arteritis (GCA) and are frequently bilateral.