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Related Experiment Videos

Simple elbow dislocations: evaluation, management, and outcomes.

Michael P McCabe1, Felix H Savoie

  • 1Mississippi Sports Medicine and Orthopaedic Center, Jackson, MS, USA.

The Physician and Sportsmedicine
|April 18, 2012
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Elbow dislocations, common in athletes, are treated with nonoperative methods and early motion to prevent stiffness. Surgery is reserved for unstable dislocations, with early mobilization crucial for optimal recovery.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Elbow dislocations are frequent athletic injuries resulting from falls onto an outstretched hand.
  • These injuries involve axial-compressive and rotational-shear forces across the elbow joint.
  • Dislocations are classified as simple (ligamentous injury only) or complex (including fractures).

Purpose of the Study:

  • To discuss the initial assessment, radiographic evaluation, and on-field management of elbow dislocations.
  • To describe various reduction techniques for both supine and prone patients.
  • To outline definitive treatment strategies, emphasizing nonoperative management and early range of motion.

Main Methods:

  • Review of initial assessment and radiographic evaluation protocols.

Related Experiment Videos

  • Description of supine and prone reduction techniques.
  • Discussion of nonoperative management with limited immobilization and early active range of motion.
  • Outline of surgical indications and procedures for unstable dislocations, including ligament repair/reconstruction.
  • Consideration of arthroscopic techniques in elbow dislocation management.
  • Main Results:

    • Nonoperative treatment with limited immobilization and early active range of motion is the primary management strategy.
    • Extended immobilization (> 3 weeks) is linked to poor outcomes.
    • Early active range of motion is recommended to minimize joint contracture and facilitate return to activities.
    • Late or recurrent instability after simple dislocations is uncommon.
    • Joint contracture is the most frequent complication, with an average extension loss of 3° to 8°.

    Conclusions:

    • Early active range of motion is key to successful outcomes and preventing contractures after elbow dislocations.
    • Nonoperative management is effective for most simple elbow dislocations.
    • Surgical intervention is indicated for unstable elbow dislocations.
    • Arthroscopic techniques are emerging as a viable option for managing elbow dislocations.