Elbow Dislocations Can Cause Disability

Elbow dislocation is a common injury, the most common dislocation in children over 5 years old. Dislocated joints can sometimes accompany a fracture that requires surgery to treat it. There are cases of severe dislocations that impair the patient's ability to move.
Elbow structure
The elbow joint is made up of the head under the arm bone and the upper end of the cylindrical bone and the rotating bone: the outer part is a convex bridge connected to the rotary crest to form the arm - rotary joint; the inner part is a pulley connected with a large ma-ma-shaped groove forming an arm-pillar joint.
The rotating bones and the turrets are joined together to form the upper articular

. Folding and stretching are two important and unique movements of the elbow joint; while tails, heads are the movements of the forearm.
Elbow dislocations
Dislocated elbows are both forearm bones: large sagmock and spine, dislocated from the head under the longitudinal arm and convex bridge.
The cause of dislocations can be caused by falling on your hands, elbows, elbows, or indirect injuries
Elbow dislocation is more common in children over 5 years of age
Japanese signs know dislocated elbow
After an injury, the patient feels pain in the elbow, does not fold or stretch his forearm.



Normally when dislocating the elbow we see the patient's forearm in a position about 45 degrees, the forearm looks shorter, the arm looks longer.
Gently palpate in front of the elbows to see the round bone of the head under the arm bone. Touching the back, the elbows protrude, the triceps of the triceps are stiff, fold the elbows slightly, release with signs of the spring, the forearm automatically bounces back to the original position before bending the elbows.
The physician saw that the elbows and the two tips on the bridge convex and the pulley were no longer triangular. Palpable forechiculum rotated posteriorly.
It is possible that the anterior ligaments were broken, but it is rare to see a ligament around the rotational cap, and the joint is torn.
You may experience a fracture such as a fracture of a part of the head under the arm bone (protrusion of the outer bridge or protrusion of the inner bridge), elbows
If the patient arrives early after injury, the diagnosis is often easy, due to palpation of bone markers.




If the patient is late, the elbows swell. Elbow dislocation is the most common accounting for 90% of cases of dislocated elbows due to elbows rupture; dislocation of the elbow to the side: due to broken bridges.
Dislocated joints can cause damage to blood vessels and nerves, so blood vessels and nerves need to be examined: revascularization, abutment in the wrist for beating, otherwise tearing in dislocated area, physical exam and cold Cupping in the extremities to assess whether or not damage the nerves.
Many cases of arterial artery dislocations are often stretched, sometimes pinched, which can be delayed clogged due to endometrial rupture. X-ray of the elbow to determine the dislocated pattern and see if the fracture is accompanied.
Elbow dislocations are very noticeable
How to treat elbow dislocation?
In case of new elbow dislocation (less than 3 weeks): must pull the joint and cast. Usually use a brace for about 10 days to exercise.
The patients who have been able to adjust their joints and joints but are unstable due to the tearing of the software have to stay motionless for 3-4 weeks, after that they will start exercising.




Attention should be paid to the patient to practice stretching. In case of not being able to get in, it is caused by joint jam, fracture of internal joint, soft insert, then surgery must be taken to the surgical site.
If the orthopedic, abnormal vascular test also need surgery to check, cut the junction, venous graft. Neurological damage may be caused by one of the three fibers, the medial nerve, the posterior nerve, and the anterior core.
In most cases, the nerve only has a light shock, fast recovery. However, when patients are paralyzed more than 3 months, they need surgery for neurological exploration or paralyzed after chiropractic surgery.
Dislocated with a fracture: fracture on the convex bridge, fragment very often stuck to the joint. Find out thanks to the sign: after the manipulation is complete, the joint movement is not soft.



At this time, it is necessary to examine X-ray to detect the bone fragment stuck to the joint. If found, remove the trapped bone.
Dislocated with a hip fracture: no fracture deviation, cast to elbow extension. If the fracture is displaced, the surgery will be performed in combination with the hip bone.
Elbow discomfort with parrot fracture: level 1, motionless 3-4 weeks and then rehabilitate; grade 2-3: surgery to fix fragments with holes through the bone, large fragments to be fixed with screws.
Disturbance accompanied by rotational cap fracture: if fracture fragment is less than 2mm, conservative treatment. If the crest is broken, cut it off in adults, or replace it with metal caps. In children, try to preserve it by combining bones with small screws.




The cast is fixed to the elbow joint
Treatment of old elbow dislocations (dislocations above 3 weeks)
Old dislocated joints are often in poor posture, the elbows are stretched at 0 degrees, forearms lose function, and require surgery to treat them. Bone resurfacing if the time is less than 3 months; or stiffening joints in the mechanical position: to bend 90 degrees, intermediate forearm, because dislocated too long if you put back the joints will deform in a bad position and reduce motor skills.
One study found that the dislocations of the elbow met the third after the dislocated shoulder and the dislocated finger, accounting for 20-25% of the total dislocations. Sickness.

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