Reduction techniques must distract the humeral head away from the lip and then return the humeral head into the fossa. 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. 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 occurs when the joint surfaces in the elbow are separated — this occurs most often after a fall onto an outstretched hand. Reduction of the dislocated elbow is the major treatment of a dislocated elbow. Elbow function recovered without any dislocation after the avulsion fracture healed. After reduction, the stability of the elbow should be tested with range of motion and varus and valgus stress. 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. The prognosis is good for uncomplicated elbow dislocations treated appropriately. Anterior elbow dislocation without periarticular fracture (simple dislocation) is an extremely rare injury and is usually caused by distraction or torsional forces. In most anterior dislocations, the humeral head is trapped outside and against the anterior lip of the glenoid fossa. In come cases, your doctor may be able to gently move the bones back into their normal position, a procedure called a "reduction." 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. After three dislocations, the avulsed bone fragment was secured with screws and the anterior capsule was repaired. Elbow dislocation complications may involve bone fractures, blood vessel and/or nerve problems, compartment syndrome, and others. 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 . It is important to look for associated ligamentous and musculotendinous injuries in this pattern. 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