Closed manual reduction of elbow dislocation

 · Elbow Dislocation Surgical Treatment First repair medial side –MCL and flexor origin –retest stability If instability persists - –Kocher approach laterally to repair LCL/extensors Elbow Dislocation Treatment If still unstable - –rigid static or hinged external fixation –3 -4 weeks ROM sacrificed for stability and residual stiffness Elbow Dislocation. manual palpation of olecranon – Reduce medial/lateral displacement 1. st – Address anterior/posterior next – Supination/pronation may assist reduction • Cautious elbow range of motion after reduction – Can guide treatment plan • Immobilization: Posterior long arm splint +/ - sugar tong. Figure from Rockwood and Green, 5. th. ed. Manual. Elbow Dislocation Rehab Protocol Phase I: Weeks Goals: Control edema and pain Early full ROM Protect injured tissues Minimize deconditioning Intervention: • Continue to assess for neurovascular compromise • Elevation and ice • Gentle PROM - working to get full extension • Splinting/bracing as needed.

Complex elbow dislocation consists of both ligamentous and bony injuries. When one of the osseous or articular component structures of the elbow is disrupted, the risk of recurrent instability and arthrosis is greatly increased. Early mobilization of simple dislocations after closed reduction is associated with low risk of redislocation. When elbow dislocation is simple (i.e. no associated fracture) then closed reduction and a brief period (e.g. dislocations of the elbow require operative management, consisting reduction of the dislocation, management of the fracture and repair of. Closed Rx: Elbow Dislocations Codes. Monteggias fracture, closed () Anterior elbow dislocation, closed () Posterior elbow dislocation, closed () Medial elbow dislocation, closed () Lateral elbow dislocation, closed () Treatment of closed elbow dislocation; without anesthesia ().

Elbow Dislocation Rehab Protocol Phase I: Weeks Goals: Control edema and pain Early full ROM Protect injured tissues Minimize deconditioning Intervention: • Continue to assess for neurovascular compromise • Elevation and ice • Gentle PROM - working to get full extension • Splinting/bracing as needed. elbow dislocations are the most common major joint dislocation second to the shoulder. most common dislocated joint in children. account for % of injuries to the elbow. posterolateral is the most common type of dislocation (80%) Demographics. predominantly affects patients between age years old. Etiology. Elbow dislocation Codes. Anterior elbow dislocation, closed () Posterior elbow dislocation, closed () Medial elbow dislocation, closed () Lateral elbow dislocation, closed () Anterior elbow dislocation, open () Posterior elbow dislocation, open () Medial elbow dislocation, open ().