Plancher K D, Lucas T S
Albert Einstein College of Medicine, New York, New York, USA.
Clin Sports Med. 2001 Jan;20(1):59-76. doi: 10.1016/s0278-5919(05)70247-7.
Elbow dislocations can result in extensive injury to the supporting structures of the elbow joint. Principles of treatment include prompt reduction of the dislocation and treatment of associated fractures. The goal is to restore joint stability and to allow for early mobility. Most simple dislocations are stable after closed reduction with early mobility that can lead to anatomic and functional restoration. When stability is compromised, as with many complex dislocations, further stabilization with ligament repair, reconstruction, and fracture fixation also can lead to satisfactory results. The prognosis following complex dislocations is more guarded in the athlete, and depends on anatomic restoration and initiation of early motion.
肘关节脱位可导致肘关节支撑结构的广泛损伤。治疗原则包括及时复位脱位以及治疗相关骨折。目标是恢复关节稳定性并允许早期活动。大多数单纯脱位在闭合复位后是稳定的，早期活动可实现解剖和功能恢复。当稳定性受到影响时，如许多复杂脱位的情况，通过韧带修复、重建和骨折固定进行进一步稳定也可取得满意结果。复杂脱位后运动员的预后更需谨慎，且取决于解剖复位和早期活动的开始情况。
