The results of treatment of dislocation and fracture--dislocation of the elbow--a review of 41 patients.

I. Azmi, M. Razak, Y. Hyzan

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Forty-one patients with 42 elbow dislocations, of which 13 had acute simple dislocations, 21 had fracture-dislocations and 8 had neglected elbow dislocations, were evaluated with regard to limitation of motion, pain, instability and residual neurovascular deficit. All patients with acute simple dislocation were treated with closed reduction, but the duration of immobilization before commencement of active motion varied. Open-reduction was indicated for failed closed reduction and neglected-dislocations. Internal fixation as a primary procedure was only performed for displaced fracture-dislocation. Excision of radial head or tricepsplasty were performed if the reduction was impossible in neglected elbow dislocation. Despite a good results in acute simple dislocation, 33.07% had flexion contracture of between 5 to 30 degrees. In fracture dislocation, satisfactory results were seen in whom the elbow was immobilized for three weeks or less. Neglected-dislocation is associated with poor functional outcome, 37.5% were good and 62.5% were poor. Prolonged immobilization after injury was strongly associated with an unsatisfactory result. The results indicate that early properly supervised active motion is a key factor in the rehabilitation of elbow dislocation.

Original languageEnglish
Pages (from-to)59-70
Number of pages12
JournalMedical Journal of Malaysia
Volume53 Suppl A
Publication statusPublished - Sep 1998
Externally publishedYes

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Elbow
Immobilization
Therapeutics
Contracture
Rehabilitation
Fracture Dislocation
Pain
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

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The results of treatment of dislocation and fracture--dislocation of the elbow--a review of 41 patients. / Azmi, I.; Razak, M.; Hyzan, Y.

In: Medical Journal of Malaysia, Vol. 53 Suppl A, 09.1998, p. 59-70.

Research output: Contribution to journalArticle

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