Elbow Dislocations - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing specific types of elbow dislocations.
An elbow dislocation occurs when the radius and ulna bones of the forearm move out of place from the humerus bone of the upper arm.
There are two basic types of elbow dislocations:
1-simple: no fracture of the bone around the elbow joint. Usually ligamentous injury.
2- complex: fracture has occurred along with ligamentous injury.
Simple acute
Simple elbow dislocation typically occurs when the patient falls onto an outstretched hand. Injury progression from lateral to medial in most patients.
Types
Posterolateral
•Most common: 90% of dislocations
•The proximal ulna and radius are displaced posterolaterally relative to the distal humerus.
Posteromedial
•The proximal ulna and radius are displaced posteromedially relative to the distal humerus.
Medial
•The proximal ulna and radius are displaced medially relative to the distal humerus.
Lateral
•The proximal ulna and radius are displaced laterally relative to the distal humerus.
Anterior
•The proximal ulna and radius are displaced anteriorly relative to the distal humerus.
•Rare and results from direct force applied to the posterior aspect of the forearm with the elbow in a flexed position.
Treatment
Closed reduction
If stable
•Splint for two or three days and no more than two weeks.
•The range of motion exercises and physical therapy.
If unstable
Can be stabilized by ligament repair and/or by the use of external fixator or cross-pinning of the joint in the elderly.
Treatment
•Open reduction and external fixator.
•Usually hinged.
Recurrent elbow dislocation (diagnosed by pivot shift)
•Occurs due to deficiency of the lateral collateral ligament.
•Treated by reconstruction of the ulnohumeral ligament with a tendon graft.

[Kaelieh]

Your videos are very straight forward and easy to follow. I'm a visual learner so I love how images that show what the text describes as it is being described. These probably take a lot of time, so thanks.

[recklessrex]

When I was in the fourth grade, I put my chin in my hand and my elbow on my desk. A perfectly normal thing to do. Just went to prop my head up on my hand for a bit, and suddenly my elbow made this dull popping noise, and I felt something strange I couldn't describe, followed by severe pain, and found I couldn't fully straighten my arm.

My teacher didn't believe me. The other kids didn't believe me. The school nurse didn't believe me. My mom was skeptical but took me to get x-rayed. The doctor there said nothing was visibly wrong with me and it was probably a "strained muscle." I wore a sling for two weeks with no improvement. My dad said I was faking it. My mom was baffled and didn't know what to think.

Finally Mom took me to our family doctor for a second opinion. He took one look at my x-rays and said "Oh yeah, that's dislocated, here let me put that back for you." *pop* No more pain and I can straighten my arm again. That quick. That simple.

BOY was I mad at that first doctor, and everyone else that didn't believe me. I'm just glad Mom took me seriously, even though she was skeptical.

Even after we finally found out what was wrong, still nobody would believe me when I told them how I did it. Everyone said you can't dislocate your arm when it's bent like that.

To this day I have had no idea how I managed to dislocate my bent elbow, which apparently you're not supposed to even be able to do, just by propping my head up on my desk like a normal bored fourth grader. No clue.

Until I saw the anterior dislocation in this video. It's the first time I've ever heard of a dislocation caused by a similar motion to what dislocated mine. Finally, after all these years, I am vindicated. Finally, I think I may have solved the mystery...

...or at least half of it. The other half is *how the duck does a nine year old rest their chin on their hand with enough force to dislocate their own elbow?!*

[SocietyPhantom]

Its been 2 months since i shatter my elbow. Stil can't do much with my arm surgery took 4 hours got a zugurtung and 3 screws. Really hope for the better.

[Bonemd]

Nice video for understanding elbow dislocations! Thanks!

[copycat]

thank you very much. this is helping me with my studies.   everyone don't forget to "like" the videos.

[AlteredCorpse]

I just fell down my stairs.
My elbow hurts very much and I can't move it :P

[Krappfiskarn]

Doc, what type of elbow dislocation do you think is most common among weightlifters? In light of the Korean lifter (Sae Jae Huyk) who discloated his elbow at the London Olympics.

[joplogbakes]

my son is 3 months old. he has congenital radial dislocation on both elbiws. can you help me if there's a treatment in that kind of case. thank you sir.

[blessing]

I cannot understand what is happening but still watching

[zahidahmedpathan]

I was felt down by 2nd floor since 1 year ago my elbow was disloated.then after operation i can't full straight my elbow but i can full fold my elbow.

[Remoh]

doc what do you call on a dislocation, when the elbow dislocates and comes back to place again? I had an experience on this

[sarahgonzales]

Watching this while moving makes me feel like I'm gonna be so much more careful

[nicapotpotchannel]

Please help my elbow dislocated from Philippines

[aspentreeart]

I had complex well not had but I dislocated it yesterday

[jude]

I can put my elbow on the ground and move it to the side and I can feel it about to dislocat

[shobhashukla]

Dr.sahab aap ka hospital kha pe h aur mobile no dijiye jisse bat ho sake

[macario]

Is it possible to relocate by elbow if it is 15 years later when it is dislocated??

[jennieee]

I got a dislocated elbow for 11 years now

[lyn]

Igot my elbow disloacated 3 months ago but its fixed ;D

[TheVishu]

your least infromative video it is....