Institute for Sports Medicine Frankfurt Main

Dislocate the elbow joint (Ellenbogengelenksluxation)

1. Risk kinds of sport:

Inlineskaten, art doing gymnastics, kinds of combat haven, American football

2. Anatomy:

Articulated connection between upper and lower arm

3. Function:

Possible movements: Diffraction and aspect ratio, as well as turn of the lower arm.
Injury: Dislocate usually from the Ellenköpfchen from the joint between upper arm bones, inch and spoke. Often combines with fractures.

4. Injury mechanism:

- Fall on elbows
- Fall on the stretched arm

5. Symptoms:

- Swelling
- Bad position of the joint
- Painful movement restriction
- Strong pain
Other pain causes:
- Fracture
- Injury of the cap volume apparatus

6. First measures:

- Cooling
- Indulgence
- Immediate visiting a physician or a hospital
- Splinting

7. Diagnostics:

- Collateral injuries must be excluded, like e.g. volume tears or container and nerve injuries in each case
- Roentgen (before and after setting-up of the break
- If necessary nuclear spin tomography or computer tomography
- If necessary additional investigations by a neurologist

8. Therapy:

a) Conservative therapy
- Reposition (furnish) as fast as possible after the accident, if necessary in Narkose by the physician
- Immobilizing the arm concerned in a gypsum rail
- After the exclusion of Collateral injuries earlyfunctional Physiotherapy (only under expert guidance)
- Decongestant, analgetic and anti-inflammatory effective medicines
- With strong painfulness during the rehablitation injections with and without Cortison
- Depending upon findings slow structure of load
b) Operational therapy
Only when being present Collateral injuries (e.g. at the bone) operational therapy.

9. Physiotherapy:

- Mobilization of the ulna joint (first passively, then actively)
- Electrical therapy
- Ice
- Lymphdrainage
- Stretch and strengthening of the arm musculature
- Purposeful training of structure of muscle
- ISO kinetics

10. Prevention:

- Correct fall technology train

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