الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY Elbow dislocation is the second most common joint dislocation among adults. Its incidence is 5-6/100,000 people per year. (1,2) 50% to 60% of elbow dislocations are of simple type. It is a complex soft injury without concomitant fractures that may cause permanent symptoms if not well treated. Its proper treatment is depated; options range from immobilization in a cast to surgical interventions. Conventional treatment is immobilization with a long arm splint following closed reduction.(3,4) Simple elbow dislocations can be treated also by early mobilization after closed reduction.(5,6) The most frightening issue after early immobilization is the risk of redislocation. However, long-term immobilization can lead to stiffness and contractures. This study included 20 patients with closed simple elbow dislocation treated conservatively in the period between January 2016 to January 2017 at Tanta University Hospital. All patients underwent closed reduction under GA and initial instability tests were done which differentiate patients into mild and moderate instability groups. Patient with unstable (severe instability) elbow were excluded. Immobilization period in above elbow plaster slab was 2 weeks, then functional rehabilitation overhead motion protocol and follow up period for 12 weeks. Age of patients ranged from 19 to 54 years. The most affected age group was 19-29 (40 %). Males (70%) were more affected than females. |