Grazette Andrew J, Aquilina Alex
University Hospitals Coventry and Warwickshire, Clifford Bridge Road, CV2 2DX, Coventry, UK.
Open Orthop J. 2017 Nov 30;11:1373-1379. doi: 10.2174/1874325001711011373. eCollection 2017.
Simple elbow dislocations are a commonly seen joint dislocation involving a sequential disruption of the soft tissue stabilisers without a significant associated fracture.
A selective literature search was performed and personal surgical experiences are reported.
The majority of these injuries can be treated with expedient closed reduction, with the intact bony congruency of the elbow joint conferring early stability. Early mobilisation after reduction results in a faster recovery with good functional outcomes. Surgical intervention for persistent instability or stiffness is uncommonly required. Although, early surgical ligamentous repair has been considered, the current evidence does not demonstrate any long-term benefits compared to non-operative treatment.
The majority of simple elbow dislocations can be successfully managed non-operatively with good reliable outcomes. Careful follow up is essential, however, to identify patients that may occasionally develop persistent instability or stiffness and require intervention.
单纯性肘关节脱位是一种常见的关节脱位，涉及软组织稳定结构的连续性破坏，且无明显相关骨折。
进行了选择性文献检索并报告了个人手术经验。
这些损伤大多数可通过便捷的闭合复位治疗，肘关节完整的骨对合提供早期稳定性。复位后早期活动可加快恢复并获得良好的功能结果。很少需要对持续性不稳定或僵硬进行手术干预。虽然曾考虑早期手术修复韧带，但目前的证据并未表明与非手术治疗相比有任何长期益处。
大多数单纯性肘关节脱位可通过非手术方法成功治疗，获得良好可靠的结果。然而，仔细随访对于识别偶尔可能出现持续性不稳定或僵硬并需要干预的患者至关重要。
