Dislocation of elbow,What to know?
Dislocation of elbow, What to know?
post dislocation
post dislocation
- Emergent orthopedic consult for any patient with concern for vascular damage (loss of pulse), neurological deficits (loss of sensation, contractures) or open dislocation/fracture
- Simple Dislocation
- Closed reduction: correction of medial or lateral displacement followed by longitudinal traction and flexion
- Parvin’s method: patient lies prone with entire upper extremity hanging off the bed, downward traction is applied to the wrist for a few minutes—> olecranon slips distally, arm is then lifted gently (Method A)
- Meyn & Quigley method: forearm hangs off of bed, gentle downward traction is applied to wrist, olecranon is guided with opposite hand (Method B
- Closed reduction: correction of medial or lateral displacement followed by longitudinal traction and flexion
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