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Management of an uncomplicated posterior elbow dislocation
1Douglas Blackard is Certified Athletic Trainer at United States Olympic Education Center, Northern Michigan University, Marquette, MI.
Objective:
To present a case of an uncomplicated posterior elbow dislocation in a US World Cup athlete and discuss her rehabilitation.
Background:
Traditional protocol for management of this injury has been splint immobilization for several weeks, but research suggests a shortened duration of immobilization and early active motion.
Differential Diagnosis:
Elbow dislocation with possible fracture.
Treatment:
The dislocation was reduced and a compression bandage and sling were applied. The sports medicine staff and athlete determined that rehabilitation would involve limited immobilization with a posterior splint. Also, active range-of- motion exercises were to be incorporated early in the range-of- motion program to decrease pain at the articulation.
Uniqueness:
The athlete was not immobilized and her aggressive five-phase rehabilitation program progressed according to decrease in inflammation and increase in range of motion and strength.
Conclusions:
Shortened immobilization and return to World Championship competition 6 weeks postinjury had no longterm adverse effects on the athlete.
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Assessment:
1. Clinical Evaluation:
History: