Simultaneous bilateral elbow dislocation with distal radius and radial head fracture is an unusual case. Only one case of bilateral elbow dislocation with distal radius fracture has been reported yet. A 58-year old male farmer with a history of fall from a tree presented with bilateral elbow dislocation with a wound over the right elbow, with distal radius fracture along with a radial head fracture. Left side close reduction and right side elbow dislocation reduced followed by external fixator applied. Distal radius fracture is managed by multiple k-wires. The aim of this study is to know the mechanism of such injury and its appropriate management.