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Related Experiment Videos

Treatment of simple elbow dislocation using an immediate motion protocol.

G Ross1, E R McDevitt, R Chronister

  • 1Department of Orthopaedic Surgery, United States Naval Academy, Annapolis, Maryland, USA.

The American Journal of Sports Medicine
|June 3, 1999
PubMed
Summary

Early, supervised motion after elbow dislocation significantly improves outcomes. This rapid rehabilitation approach allows patients to regain near-full elbow function and return to daily activities quickly.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Medicine

Background:

  • Elbow dislocation treatment outcomes vary.
  • Traditional immobilization may limit functional recovery.

Purpose of the Study:

  • To evaluate the effectiveness of immediate active range of motion for closed posterior elbow dislocations.
  • To assess functional outcomes and recovery time with a non-immobilized regimen.

Main Methods:

  • Prospective study of 20 patients with closed posterior elbow dislocations.
  • Treatment involved immediate active range of motion under supervision, without splints or slings.
  • Emphasis on rapid, functional rehabilitation.

Main Results:

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  • Average final range of motion: -4 to 139 degrees.
  • All patients achieved final extension within 5 degrees of the contralateral side.
  • Average recovery of full range of motion in 19 days; arm circumference normalized in 6.5 days.
  • One case of redislocation.

    • Conclusions:

    • Aggressive immediate motion rehabilitation leads to excellent functional outcomes after elbow dislocation.
    • This protocol facilitates nearly full final elbow motion and a rapid return to unrestricted activities.
    • Non-immobilized, supervised functional regimen is a viable treatment option.