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Dislocation based on temporary or permanent an abnormal separation in the joint. It is the most common dislocation in children and adolescents and second (after shoulder dislocation) in adults. 90% of injures are posterior dislocation, where the bone move posterior against arm, and 10% is the anterior injury, where the bone moves reversely. Posterior dislocation occurs when athlete falls on an outstretched hand with a little flexed elbow and it’s often connected with coronoid process or head of the radius fracture . Anterior dislocation mostly occurs by direct blowing to the back of the elbow, then this external force thrust the elbow forward against the arm. Elbow dislocation may damage important nerves and blood vessels, that’s why the prophylaxis is very important.

elbow dislocation

complete elbow dislocation

Exercises

radial head fracture of the elbow

1) Pronation and supination of the forearm:
– bend your elbow to 90 degrees
– rotate your forward (to see dorsal and palm surface of your hand)
– repeat each side 15 times

2) Elbow flexion and extension:
– stand up relaxed
– bend your elbow and get back slowly
– repeat exercise 15 times

3) Eccentric wrist flexion:
– bend your elbow to 90 degrees
– grip some object with adequate weight (e.g. small bottle of water)
– bend your wrist with the other hand support and get back slowly
– practise exercise 15 times

4) Eccentric wrist extension:
– now invert your forearm
– grip some object with adequate weight (e.g. small bottle of water)
– raise your hand with the other hand support and get back slowly
– practice exercise 15 times

5) Wrist radial deviation:
– straighten your arm in the medial position
– grip some object with adequate weight (e.g. small bottle of water)
– lift the hand up and get back slowly
– practice exercise 15 times

6) Forearm pronation and supination strengthening:
– bend your arm to 90 degrees and take to your hand some object similar to hammer (and in similar weight)
– change hammer’s position in 180 degrees
– practice exercise15 times for each motion

7) Wrist extension ( with broom handle):
– stand up and straighten your arms
– take the broom handle
– roll the broom handle with wrist extension and flexion
– repeat 15 times for each motion