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Return to Sports in Recreational Athletes After Complex Elbow Dislocation.

Stephan Regenbogen1, Philip-Christian Nolte1, Marc Schnetzke2

  • 1BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery, Heidelberg University, Ludwig-Guttmann-Str. 13, 67071 Ludwigshafen, Germany.

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|March 14, 2026
PubMed
Summary

Complex elbow dislocations are severe injuries, but recreational athletes can achieve good outcomes. Most return to sports and work, though nearly 25% may not return to their pre-injury sport.

Keywords:
complex elbow injuryelbow fractureelbow instabilityelbow stabilizationreturn to sportreturn to work

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Trauma Surgery

Background:

  • Complex elbow dislocations are infrequent yet severe injuries.
  • Optimal treatment strategies and return-to-sport data remain limited.
  • This study investigates functional outcomes and return metrics for athletes post-dislocation.

Purpose of the Study:

  • To analyze functional outcomes in recreational athletes following complex elbow dislocations.
  • To assess return-to-sport and return-to-work rates after these injuries.
  • To evaluate patient-reported outcome measures in this population.

Main Methods:

  • Retrospective single-center study (Level I Trauma Center) from 2008-2019.
  • Analysis of epidemiological data, associated injuries, and treatments.
  • Minimum two-year follow-up assessing return-to-sport, return-to-work, and patient-reported outcomes.

Main Results:

  • Fifty-six patients were included with a mean follow-up of 6.4 years.
  • Good functional scores were observed: Subjective Elbow Value (80.2), Mayo Elbow Performance Score (83.8), Oxford Elbow Score (37.8).
  • Of 41 athletes, 37 returned to sports (31.7% fully, 43.9% partially, 24.4% switched sports); 82% fully returned to work.

Conclusions:

  • Complex elbow dislocations result in significant functional limitations.
  • High overall return-to-sport and return-to-work rates are achievable in recreational athletes.
  • While most resume activity, a notable percentage do not return to their previous sport.