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J Athl Train. 1997 Jan;32(1):63-7.

Management of an uncomplicated posterior elbow dislocation.

Journal of athletic training

D Blackard, J A Sampson

Affiliations

  1. Douglas Blackard is Certified Athletic Trainer at United States Olympic Education Center, Northern Michigan University, Marquette, MI.

PMID: 16558436 PMCID: PMC1319239

Abstract

OBJECTIVE: To present a case of an uncomplicated posterior elbow dislocation in a US World Cup athlete and discuss her rehabilitation.

BACKGROUND: Traditional protocol for management of this injury has been splint immobilization for several weeks, but research suggests a shortened duration of immobilization and early active motion.

DIFFERENTIAL DIAGNOSIS: Elbow dislocation with possible fracture.

TREATMENT: The dislocation was reduced and a compression bandage and sling were applied. The sports medicine staff and athlete determined that rehabilitation would involve limited immobilization with a posterior splint. Also, active range-of- motion exercises were to be incorporated early in the range-of- motion program to decrease pain at the articulation.

UNIQUENESS: The athlete was not immobilized and her aggressive five-phase rehabilitation program progressed according to decrease in inflammation and increase in range of motion and strength.

CONCLUSIONS: Shortened immobilization and return to World Championship competition 6 weeks postinjury had no longterm adverse effects on the athlete.

References

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