Management of an uncomplicated posterior elbow dislocation.
OBJECTIVE
To present a case of an uncomplicated posterior elbow dislocation in a US World Cup athlete and discuss her rehabilitation.


BACKGROUND
Traditional protocol for management of this injury has been splint immobilization for several weeks, but research suggests a shortened duration of immobilization and early active motion.


METHODS
Elbow dislocation with possible fracture.


METHODS
The dislocation was reduced and a compression bandage and sling were applied. The sports medicine staff and athlete determined that rehabilitation would involve limited immobilization with a posterior splint. Also, active range-of- motion exercises were to be incorporated early in the range-of- motion program to decrease pain at the articulation.


RESULTS
The athlete was not immobilized and her aggressive five-phase rehabilitation program progressed according to decrease in inflammation and increase in range of motion and strength.


CONCLUSIONS
Shortened immobilization and return to World Championship competition 6 weeks postinjury had no longterm adverse effects on the athlete.
Douglas Blackard is Certified Athletic Trainer at United States Olympic Education Center, Northern Michigan University, Marquette, MI.
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