Farron A, Ménétrey J
Service universitaire d'orthopédie et de chirurgie de l'appareil moteur, Hôpital orthopédique de la Suisse romande et CHUV, Lausanne.
Swiss Surg. 1997;3(4):172-6.
To analyse the results of non surgical management of isolated dislocation (without any fractures) of the elbow in adult.
We reviewed with an average follow up of 36 months 22 patients (22 elbows) who had been treated conservatively after a first episode of posterior dislocation of the elbow.
Nineteen patients (86%) reported an excellent or a good subjective result, although 64% suffered occasionally from pain. None had presented a recurrent dislocation. At physical examination, 27% had a restricted extension of the elbow of 10 degrees and more, and 27% had some kind of chronic laxity. Fifty percent had modifications visible on the X-rays. We found no correlation between laxity and duration of immobilization. At contrary, patients who were immobilized for a longer time than 3 weeks suffered more often of a painful restricted extension of the elbow.
Conservative management of posterior dislocation of the elbow has a good prognosis. Occasional pain and chronic laxity are often present but well supported. Early mobilization decreases the risk of permanent limited extension of the elbow.
分析成人单纯性肘关节脱位（无任何骨折）的非手术治疗结果。
我们回顾了22例（22个肘关节）首次发生肘关节后脱位后接受保守治疗的患者，平均随访36个月。
19例（86%）患者主观结果为优或良，尽管64%的患者偶尔会疼痛。无一例出现复发性脱位。体格检查时，27%的患者肘关节伸展受限10度及以上，27%的患者存在某种慢性松弛。50%的患者X线片有改变。我们发现松弛与固定时间之间无相关性。相反，固定时间超过3周的患者肘关节疼痛性伸展受限的情况更常见。
肘关节后脱位的保守治疗预后良好。偶尔出现的疼痛和慢性松弛很常见，但可以得到较好的缓解。早期活动可降低肘关节永久性伸展受限的风险。
