La luxation isolée du coude [Isolated dislocation of the elbow]

Details

Serval ID
serval:BIB_B9CC9C00EBB4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
La luxation isolée du coude [Isolated dislocation of the elbow]
Journal
Swiss Surgery
Author(s)
Farron A., Ménétrey J.
ISSN
1023-9332
Publication state
Published
Issued date
1997
Volume
3
Number
4
Pages
172-176
Language
french
Abstract
GOALS OF THE STUDY: To analyse the results of non surgical management of isolated dislocation (without any fractures) of the elbow in adult. MATERIAL AND METHODS: We reviewed with an average follow up of 36 months 22 patients (22 elbows) who had been treated conservatively after a first episode of posterior dislocation of the elbow. RESULTS: Nineteen patients (86%) reported an excellent or a good subjective result, although 64% suffered occasionally from pain. None had presented a recurrent dislocation. At physical examination, 27% had a restricted extension of the elbow of 10 degrees and more, and 27% had some kind of chronic laxity. Fifty percent had modifications visible on the X-rays. We found no correlation between laxity and duration of immobilization. At contrary, patients who were immobilized for a longer time than 3 weeks suffered more often of a painful restricted extension of the elbow. DISCUSSION: Conservative management of posterior dislocation of the elbow has a good prognosis. Occasional pain and chronic laxity are often present but well supported. Early mobilization decreases the risk of permanent limited extension of the elbow.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Dislocations/radiography, Dislocations/therapy, Elbow Joint/injuries, Elbow Joint/radiography, Female, Follow-Up Studies, Humans, Immobilization, Joint Instability/radiography, Joint Instability/therapy, Male, Manipulation, Orthopedic, Middle Aged, Range of Motion, Articular/physiology
Pubmed
Create date
28/01/2008 12:15
Last modification date
20/08/2019 15:27
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