Fractures and dislocations of the elbow

The function of the elbow is to position the hand in space. Elbow injuries must be carefully assessed and correctly managed to prevent long-term disability. The neurovascular structures around the elbow are vulnerable to traumatic and iatrogenic injury. The status of these structures must be carefully monitored and further injury due to the improper use of plaster or surgery must be avoided. The elbow is particularly prone to stiffness after injury and early movement should be the goal of most treatment strategies. Movement may be started soon as pain allows for injuries that are not complicated by bony or ligamentous instability. Unstable injuries should be treated surgically to allow early movement.