Summary: The management of elbow dislocations continues to evolve. However, it is well recognized that simple dislocations are commonly associated with good outcomes after a closed reduction and institution of early motion.24 The same cannot be said for fracture-dislocations of the elbow, which can be challenging to treat, frequently require surgical repair of the proximal radius and ulna and possibly the humerus.15,18,22,35,42-44,51 Complications are common, and frequently involve loss of motion of the elbow or the forearm or both, and radiographic changes of arthrosis. While historically, the management of these injuries has been fraught with suboptimal outcomes, contemporary understanding has afforded us the ability of analyze the pathoanatomy of each fracture pattern, recognize the elements that need to be addressed and led to improved outcomes.
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