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Current Concepts Review   |    
Current Concepts Review - Fracture-Dislocation of the Elbow*
DAVID RING, M.D.†; JESSE B. JUPITER, M.D.†, BOSTON, MASSACHUSETTS
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Investigation performed at the Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston
J Bone Joint Surg Am, 1998 Apr 01;80(4):566-80
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Extract

The elbow joint is one of the most inherently stable articulations of the skeleton1,54,75,77. When a dislocation is not associated with a fracture, early mobilization after closed reduction is associated with a low risk of redislocation72,99, despite the fact that, in most patients, all of the capsuloligamentous stabilizers of the articulation of the elbow are ruptured19,45,48,49. When at least one of the osseous or articular component structures that contribute to stability of the elbow is disrupted, the risk of recurrent or chronic instability and arthrosis is increased11,50. Treatment of these injuries remains challenging in part because accurate definitions of the patterns of injury, the specific roles of the component structures contributing to stability of the elbow, and a rational approach to treatment have not been fully determined. Despite the preponderance of literature on traumatic injuries about the elbow, there are relatively little data specifically addressing combined osseous, articular, and ligamentous injury of the elbow11,34,50,107,124.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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