Fractures, Reconstruction, and Prosthetic ReplacementNew Concepts in Dislocations of the ElbowMudgal, Chaitanya S. M.D., M.S.(ORTH.), M.CH(ORTH.); Jupiter, Jesse B. M.D.Author Information From the Department of Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, Massachusetts. Address correspondence and reprint requests to Chaitanya S. Mudgal, MD, Orthopaedic Hand Service, Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114. E-mail: [email protected] Techniques in Orthopaedics: December 2006 - Volume 21 - Issue 4 - p 347-362 doi: 10.1097/01.bto.0000252136.46255.13 Buy Metrics Abstract 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. © 2006 Lippincott Williams & Wilkins, Inc.