RESEARCH ARTICLE


Dislocation of the Elbow: A Retrospective Multicentre Study of 86 Patients



Jeroen de Haan1, Niels W.L Schep2, Imme Zengerink3, Jesse van Buijtenen1, Wim E Tuinebreijer4, Dennis den Hartog*, 2
1 Department of Surgery and Traumatology, Westfriesgasthuis, Maelsonstraat 3, 1624 NP Hoorn, The Netherlands
2 Department of Surgery - Traumatology, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, ‘s Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands
3 Department of Surgery, Reinier de Graaf Gasthuis, Reinier de Graafweg 3-11, 2625 AD Delft, The Netherlands
4 Relweg 59, 1949 EC Wijk aan Zee, The Netherlands


Article Metrics

CrossRef Citations:
12
Total Statistics:

Full-Text HTML Views: 366
Abstract HTML Views: 165
PDF Downloads: 115
Total Views/Downloads: 646
Unique Statistics:

Full-Text HTML Views: 199
Abstract HTML Views: 109
PDF Downloads: 102
Total Views/Downloads: 410



Creative Commons License
© de Haan et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Department of Surgery - Traumatology, Erasmus MC, University Medical Center Rotterdam, Office H-960, ‘s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands; Tel: +31 10 7032395; Fax: +31 10 7032396; E-mail: d.denhartog@erasmusmc.nl


Abstract

The objective of this retrospective multicentre cohort study was to prospectively assess the long-term functional outcomes of simple and complex elbow dislocations.

We analysed the hospital and outpatient records of 86 patients between 01.03.1999 and 25.02.2009 with an elbow dislocation. After a mean follow-up of 3.3 years, all patients were re-examined at the outpatient clinic for measurement of different outcomes.

The mean range of motion was ROM 135.5°. The Mayo elbow performance index (MEPI) scored an average of 91.9 (87.5% of the patients were rated excellent or good). The average Quick disabilities of the arm, shoulder and hand (Quick- DASH) score was 9.7, the sports/music score 11.5 and work score 6.1. The Oxford function score was 75.7, Oxford pain score 75.2 and Oxford social-psychological score 73.9.

Elbow dislocation is a mild disease and generally, the outcome is excellent. Functional results might improve with early active movements.

Keywords: Elbow, elbow joint, injury, dislocations.