Incidence of elbow dislocation

Josefsson, Per Olof; Nilsson, Bo

doi:10.3109/17453678609014788

Cited by 172 publications

(92 citation statements)

References 6 publications

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“…The annual incidence of elbow dislocations is between five and 13 per 100,000 persons [15,24]. Simple elbow dislocations treated with early mobilization after closed reduction usually have good functional results despite the capsuloligamentous stabilizers of the articulation of the elbow being ruptured [19].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Simple and Complex Open Elbow Dislocations

Boretto

Sammartino

Gallucci

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Open elbow dislocations are rare injuries. Most of the evidence related to these dislocations is found in case reports or in series with closed injuries. We reviewed the experiences of three centers in the treatment of open elbow dislocations. Question/purposes We compared the results after operative treatment of simple and complex open dislocations in terms of (1) ROM, (2) functional score, and (3) complications. Methods Eighteen patients were retrospectively included in this study: 11 with simple open elbow dislocations and seven with complex open elbow dislocations. Mean age was 40 years. Thirteen were men. Eight patients presented neurovascular injuries. Evaluation included ROM of the elbow and forearm as measured by hand-held goniometer. We then classified the results using the 100-point Broberg and Morrey functional rating index based on ROM, grip strength, elbow stability, and pain. Scores of 95 to 100 were considered excellent, 80 to 94 good, 60 to 79 fair, and less than 60 poor. Complications were recorded. Minimum followup was 6 months (mean, 25 months; range, 6-72 months). Results We found no differences between simple and complex open elbow dislocations related to ROM (median flexion/extension: 117°versus 110°, p = 0.12; forearm rotation: 160°versus 170°, p = 0.67). According to the Broberg and Morrey score, four patients had excellent results, five good, and one fair in the simple dislocation group, whereas in the complex dislocation group, four patients had excellent results, two good, and one fair (p = 0.8). No difference in complication rate was found between groups (p = 0.63). All complications in the simple dislocation group were neurovascular. In the complex dislocation group, there was one case of brachial artery occlusion, two cases of heterotopic ossification, one case of infection and nonunion, and one case of infection. No patients had recurrent elbow instability.

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Section: Introductionmentioning

confidence: 99%

Comparative Study of Simple and Complex Open Elbow Dislocations

Boretto

Sammartino

Gallucci

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…[6][7][8] 25% of injuries of the elbow joint constitute elbow dislocations with the most common type being a posterolateral dislocation and rare anterolateral dislocations also being reported. 9 The frequency of vascular injury in dislocations may vary from 0.3% to 12.7% as described by various studies. [10][11][12] Vascular injuries associated with elbow dislocations are relatively rare due to the anatomy of the brachial artery being protected the medial edge of biceps brachii muscle and then distally by its aponeurotic expansion which may be responsible for the rupture of the artery during posterior dislocation.…”

Section: Discussionmentioning

confidence: 99%

The management of a complex elbow injury with transaction of the brachial artery

et al. 2017

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<p class="abstract"><span lang="EN-IN">Elbow dislocations are commonly encountered cases by orthopaedic surgeon. Vascular injury accompanying an elbow dislocation is a surgical challenge. The authors report a rare complication of complete transaction of the brachial artery following a posterior dislocation of the elbow joint. A fifty-year old male suffered a road traffic accident during which he injured his left elbow. Radiographs confirmed a posterior dislocation of the elbow joint. However the radial and ulnar pulse very not palpable. Arterial doppler confirmed injury to brachial artery. The patient was successfully treated and regained full functional use of his left upper limb. The aim of this report is to help readers understand why a vascular injury occurs following an elbow dislocations. A successful management of such injuries revolves around a prompt clinical diagnosis and early repair.</span></p>

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“…Elbow dislocations are common injuries with the incidence of 6 to 8 dislocations per 100,000 people (1,2). Of all the elbow injuries, dislocations account for 11-28% (3).…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

Stojiljković¹,

Jovanović²,

Golubović³

et al. 2017

Acta Facultatis Medicae Naissensis

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Open elbow dislocations with vascular injury are rare injuries and they most commonly occur after a fall from a high or in sports accidents. Close anatomic proximity of the joint to the neurovascular structures put them at risk of concomitant injury. The aim of this paper is to present the method of treatment of this severe injury.Herein we present a case of a female patient, 43 years old. She had suffered an open elbow dislocation with vascular injury as a result of a fall from the height of 1.5 meters. Seven hours after sustaining the injury and short preoperative preparation, reposition of the elbow, reconstruction of the vascular injury, adequate surgical treatment of the wound and external fixation of the elbow with the Mitković type external fixator were performed under general anesthesia. Four weeks after elbow stabilization with the external fixation, the external fixator was removed. The neurovascular status and final functional result of the treatment after six mounts were good. Urgent reposition, artery and vein reconstruction, and external fixation are essential in achieving good results in patients with open cubital dislocation accompanied with vascular injury. The Mitković type external fixator provides fast and stable fixation of the elbow after reposition and good conditions for wound care.

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Incidence of elbow dislocation

Cited by 172 publications

References 6 publications

Comparative Study of Simple and Complex Open Elbow Dislocations

Comparative Study of Simple and Complex Open Elbow Dislocations

The management of a complex elbow injury with transaction of the brachial artery

Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

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