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[Isolated dislocation of the elbow]

A Farron1, J Ménétrey

  • 1Service universitaire d'orthopédie et de chirurgie de l'appareil moteur, Hôpital orthopédique de la Suisse romande et CHUV, Lausanne.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|January 1, 1997
PubMed
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Non-surgical treatment for adult elbow dislocations shows good outcomes, with most patients reporting satisfactory results. Early mobilization is key to reducing long-term stiffness and pain.

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Isolated elbow dislocations are common injuries in adults.
  • Non-surgical management is a frequent treatment approach.

Purpose of the Study:

  • To analyze outcomes of non-surgical management for isolated adult elbow dislocations.
  • To evaluate the efficacy and complications of conservative treatment.

Main Methods:

  • Retrospective review of 22 adult patients with isolated posterior elbow dislocations.
  • Average follow-up of 36 months.
  • Conservative treatment without surgical intervention.

Main Results:

  • 86% of patients reported excellent or good subjective results.
  • 64% experienced occasional pain; 27% had restricted elbow extension.

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  • 27% exhibited chronic laxity; 50% showed X-ray modifications.
  • Prolonged immobilization (>3 weeks) correlated with painful restricted extension.

    • Conclusions:

    • Conservative management of isolated elbow dislocations has a favorable prognosis.
    • Occasional pain and chronic laxity are common but generally well-tolerated.
    • Early mobilization is crucial to minimize the risk of permanent elbow stiffness.