Complex fracture-dislocations of the elbow require operative management, consisting reduction of the dislocation, management of the fracture and repair of surrounding damaged soft tissues . After reduction, the stability of the elbow should be tested with range of motion and varus and valgus stress. After three dislocations, the avulsed bone fragment was secured with screws and the anterior capsule was repaired. Reduction of the dislocated elbow is the major treatment of a dislocated elbow. Elbow Dislocation Rehab Protocol Phase I: Weeks 1-4 Goals: Control edema and pain Early full ROM Protect injured tissues Minimize deconditioning Intervention: • Continue to assess for neurovascular compromise • Elevation and ice • Gentle PROM - working to get full extension • … Immobilize in long arm posterior mold with elbow in slightly less than 90deg flexion If unstable, splint with forearm in pronation; Document post reduction neurovascular status and post reduction films; Disposition. Elbow dislocation occurs when the joint surfaces in the elbow are separated — this occurs most often after a fall onto an outstretched hand. For anterior dislocations, the reduction is performed via a posteriorly directed force on the radial head, accompanied by elbow flexion to greater than 100 degrees and full supination. For an anterior elbow dislocation, the reduction is performed by flexing the elbow while pulling traction and applying a downward force on the proximal forearm. It is important to look for associated ligamentous and musculotendinous injuries in this pattern. ail the creation of a neocapsule of the shoulder, elimination of the pseudoglenoid space with a medial capsular repair, and a combined medial and lateral capsular shift. Elbow function recovered without any dislocation after the avulsion fracture healed. One technique to relocate a dislocated elbow with anatomy diagrammed out. In come cases, your doctor may be able to gently move the bones back into their normal position, a procedure called a "reduction." Reduction techniques must distract the humeral head away from the lip and then return the humeral head into the fossa. Anterior elbow dislocation without periarticular fracture (simple dislocation) is an extremely rare injury and is usually caused by distraction or torsional forces. The prognosis is good for uncomplicated elbow dislocations treated appropriately. In most anterior dislocations, the humeral head is trapped outside and against the anterior lip of the glenoid fossa. Open reduction and internal fixation of the avulsed fragment is worth trying at first for juvenile recurrent elbow dislocation, even in chronic cases. Elbow dislocation complications may involve bone fractures, blood vessel and/or nerve problems, compartment syndrome, and others. 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