Functional therapy and the limitations for acute elbow dislocation

Dislocation of the elbow joint is the second most common dislocation, the shoulder being the most common. Non-surgical therapy is done by repositioning and early active motion after a short period of immobilization. There are, however, certain principles which must be followed in order to obtain a f...

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Bibliographic Details
Published in:Der Unfallchirurg 2007-10, Vol.110 (10), p.845
Main Authors: Deml, C, Arora, R, Oberladstätter, J, Eller, M, Lutz, M
Format: Article
Language:ger
Subjects:
Adult
Casts, Surgical
Elbow Joint - diagnostic imaging
Elbow Joint - injuries
Female
Humans
Joint Dislocations - rehabilitation
Joint Instability - etiology
Joint Instability - rehabilitation
Male
Manipulation, Orthopedic
Middle Aged
Physical Therapy Modalities
Radiography
Recurrence
Retreatment
Splints
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Summary:Dislocation of the elbow joint is the second most common dislocation, the shoulder being the most common. Non-surgical therapy is done by repositioning and early active motion after a short period of immobilization. There are, however, certain principles which must be followed in order to obtain a favorable result with functional therapy. On the basis of case reports the constraints of early active motion are discussed. Knowing the mechanism or kinematics of an elbow dislocation, it is possible to determine a staging of the injury. Using detailed x-rays and an exact stability test, the degree of instability must be checked after repositioning. It is important to determine the grade of instability and to operatively correct a major instability.
ISSN:0177-5537
DOI:10.1007/s00113-007-1342-3