Office Hours: M-F 9:00-5:00. [] In addition to elbow, evaluate Shoulder and wrist for concurrent injury; Evaluate Hand Neurovascular Exam. PARVIN, R.W. Specifically, the olecranon process of the ulna moves into the olecranon fossa of the humerus and the trochlea of the humerus is displaced over the coronoid process of the ulna. [1] If there is not sufficient valgus/varus distraction on the joint at the time of trauma it is likely a coronoid fracture will also occur. Reduction: Option #1: Option #2: Lay in prone position with arm hanging over edge. Swelling may be severe; Displaced equilateral triangle of olecranon and epicondyles (undisturbed in supracondylar fracture) Posterior dislocation. An elbow fracture is a break in one of the bones which form the elbow joint. The anterior compartment of the elbow encompasses the brachial artery and ulnar and median nerves. An isolated dislocation without fracture is "simple." Neurovascular injury is uncommon from posterior elbow dislocations. Our ground level Park Avenue office is currently open and following CDC guidelines on social distancing and disinfection, including patient limits in our waiting room. If you think you have dislocated your elbow, seek medical attention promptly. In another study, median nerve entrapment and ulnar nerve palsy following elbow fracture dislocation in a child was discussed. [4] However, more recent research has suggested that axial compression, elbow flexion, valgus stress, and forearm supination lead to a rotational displacement of the ulna on the distal humerus. Simple elbow dislocations: a systematic review of the literature. A posterior elbow dislocation can be classified as simple or complex. Fractures. It requires adequate muscular relaxation and appropriate analgesia. Proximal portion innervates wrist flexors and FDS Approximately 90% of all elbow dislocations are commonly seen in the non-dominant upper extremity. AMA Arch Surg 1957; 75(6):972-5. It is important to be cautious during passive mobilisation and ROM. [6][7][9] Some patients may be allowed to actively move the elbow immediately post op, however this will depend on the surgeon.[15]. A dislocated elbow occurs when the radius (or radius head) and/or ulna bones of the forearm are moved out of place with the humerus (upper arm) bone that together form a joint. Injury, 11,159-164 Printed in Great Britain 159 Acute nerve injury as a complication of closed fractures or dislocations of the elbow K. A. Galbraith Accident Unit, Radcliffe Infirmary, Oxford C.J. There are three bones which could be broken: the Humerus (upper arm bone), Ulna and Radius (two forearm bones). Surgical versus non-surgical treatment of ligamentous injuries following dislocation of the elbow joint. When the tissues that support the pelvic organs become weak, stretched or damaged, due to age or childbirth for example, the organs can slip out of place, dropping down and pressing against the walls of the vagina. While conservative treatment approaches to PED can vary depending on the level of tissue involvement, there are key elements to consider throughout the clinical decision-making process. The vast majority of dislocations are posterior. Following a typical reduction with no fracture: There can be detrimental effects of prolonged immobilisation including flexion contractures, enhanced perception of pain, and increased duration of disability, all of which prolong the rehabilitation process. ... axillary nerve injury; postoperative care. [] More than 90% of all elbow dislocations are posterior dislocations. A prospective randomized study. Reduction may be achieved by the correction of the medial or lateral displacement followed by strong traction on the forearm in the line of the limb. Immobilization: 90 degrees of flexion with a well padded backslab; Patient expectations: Associated injuries may include. Biceps tendinopathy is a relatively common source of pain in the anterior elbow; history often includes repeated elbow flexion with forearm supination and pronation. A complete elbow dislocation is extremely painful. A simple dislocation is classified as a dislocation without the presence of a fracture. [19], Sign up to receive the latest Physiopedia news, The content on or accessible through Physiopedia is for informational purposes only. A complex dislocation has related fractures. During the physical examination, Dr. Mark Pruzansky and Dr. Jason Pruzansky will examine the arm, checking for tenderness, swelling, and deformity. Clin Orthop Relat Res 1974; (103):106-8. Schneeberger AG, Sadowski MM, Jacob HAC. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Acute ulnar nerve entrapment following closed reduction of a posterior fracture dislocation of the elbow joint was also highlighted as a potential risk in the literature. A dislocated elbow occurs when the bones that make up the joint are forced out of alignment — typically when you land on an outstretched hand during a fall. Management of an uncomplicated posterior elbow dislocation. The fracture has been satisfactorily immobilized, and the patient … Anterior and posterior repair are minimally invasive procedures used to correct pelvic organs that have dropped out of their normal positions.. Although full extension should be a goal of rehabilitation, care must be taken to protect the vulnerable elbow and avoid hyperextension. New mechanism of the posterior elbow dislocation. Posterior elbow dislocations comprise over 90% of elbow injuries. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior. Posterior elbow dislocation (PED) occurs when the radius and ulna are forcefully driven posteriorly to the humerus. Further soft tissue or osseous injury results in dislocation 13 . Read more, © Physiopedia 2020 | Physiopedia is a registered charity in the UK, no. [12][6][7][9][13], Radiographs are indicated when there is no response to care after four weeks of conservative treatment, significant activity restriction for more than four weeks, or non-mechanical pain is present. The radial head and coronoid process are the most commonly fractured structures. The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. When all of t… Surgery may also involve ligamentous repair. There are many types of elbow dislocations, but about 90% are posterior types. Radiographic features. Meyn, M.A., Quigley, Jr, T.B. Elbow Dislocation Posterior. Posterior Elbow Dislocation (90%) Anterior Dislocation; Pure lateral and medial dislocations (rare) Exam. In the most severe dislocations, the blood vessels and nerves that travel across the elbow may be injured. 'Terrible triad' is a term used to describe a severe complex dislocation with intra-articular fractures of the radial head and coronoid process. Dr. Mark Pruzansky and Dr. Jason Pruzansky take special care to help all patients leave with adequate instructions for rehabilitation. Mark E. Pruzansky, MD, PC 2020 All Rights Reserved Online Marketing by, Awards & Recognition for Dr. Mark E. Pruzansky, Publications Featuring Dr. Mark Pruzansky, Awards & Recognition for Dr. Jason S. Pruzansky, Publications Featuring Dr. Jason S. Pruzansky. In severe cases, some people may never be able to fully open (extend) the arm, but the elbow can work very well even without the full range of motion. Clinical evaluation should include the median and ulnar nerve function. Our patient had biepicondylar fracture dislocation of the elbow concomitant with complete ulnar nerve … progression of injury is from lateral to medial . Rehabilitation after posterolateral dislocation of the elbow in a collegiate football player: A case report. [1], In adults, they are the second most commonly dislocated joint proceeded by shoulder dislocations. Elbow Dislocation Overview An elbow dislocation occurs when the bones of the forearm (the radius and ulna) move out of place compared with the bone of the upper arm (the humerus). [1], In children under 10 years, PEDs are the most common type of joint dislocation. Pure posterior luxation of the elbow in adults: immobilization or early mobilization. If an elbow dislocation is associated with a fracture (fracture-dislocation), it is called "complex." Possibly injury to the brachial artery. In adults, it is the second most commonly dislocated joint – preceded only by shoulder dislocations. Diagnostic imaging guideline for musculoskeletal complaints in adults—an evidence-based approach—part 2: upper extremity disorders. Iordens GI, Van Lieshout EM, Schep NW, De Haan J, Tuinebreijer WE, Eygendaal D, Van Beeck E, Patka P, Verhofstad MH, Den Hartog D. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. [6][7], PED can be classified as simple or complex. Sometimes, the elbow is only partially dislocated. Please contact us today at 212-249-8700 to schedule an appointment. [6][7][9]An open procedure, more likely when fractures are involved, can include: Once surgery is complete, the patient is typically immobilised with time frames varying based on the individual and the surgeon's protocol. This can allow for more rapid return to work and or sport. That is usually the journal article where the information was first stated. Posterior elbow dislocation is the most common type of joint dislocation in children that are less than 10 years old. Reduction of posterior dislocation of the elbow by traction on the dangling arm. Immobilisation: typically involves the use of a posterior splint at 45-90. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Fractures may exist on the radial head, coronoid process, olecranon, humeral condyles, or capitellum. Ligament integrity tests - varus and valgus stress test, the lateral pivot-shift test/ apprehension test (Posterolateral Rotational Instability Test). Simple elbow dislocations are treated by keeping immobilizing the arm in a sling or a splint for 1-3 weeks. With much difficulty, he is able to make it inside his house and calls a friend to take him to the doctor's office. Neurovascular injury is uncommon from posterior elbow dislocations. X-rays are needed to confirm that the elbow is dislocated. Complex elbow dislocation consists of both ligamentous and bony injuries. Patient prone on gurney; Patient's arm abducted at Shoulder and flexed 90 degrees at elbow LCL fails first (primary lesion) by avulsion of the lateral epicondylar origin A simple dislocation is absent of fractures while a complex dislocation has related fractures. posterior dislocations may involve more than one injury mechanism; pathoanatomy . sudden severe pain in the shoulder joint at the time of injury with rapid swelling These structures are particularly vulnerable to injury because the anterior compartment is often disrupted during posterior dislocation. Swelling - the olecranon may be prominent creating a divot over distal, Recurrent dislocations can occur if a ligament injury is also sustained, Vascular screen - palpation of brachial, radial and ulnar arteries, Neuromuscular screen - dermatomes, myotomes and reflexes including upper limb neuro-tension tests (if tolerated by patient), Palpation - It is essential to palpate for associated fractures in the elbow complex. If it is important to evaluate the ligaments, a magnetic resonance image (MRI) can be helpful, however, it is rarely required. Neurovascular injury is uncommon, but should always be sought. Specifically, the olecranon process of the ulna (the tip of your elbow) moves into the olecranon fossa of the humerus and the trochlea of the humerus is displaced over the coronoid process of the ulna. The anterior compartment of the elbow encompasses the brachial artery and ulnar and median nerves. Wires and/or screws placed in the olecranon for stabilising the joint. While New York’s hospitals are bravely fighting the viral pandemic, we’re keeping our private practice office open to provide a safety-minded environment to address your urgent hand, wrist and elbow injuries. In most cases, there is potential for developing instability and degenerative joint disease. 975 Park Ave, NY, NY 10028 If blood vessel or nerve injuries are associated with the elbow dislocation, additional surgery may be needed to repair the blood vessels and nerves and repair bone and ligament injuries. associated with complete or near complete circular disruption of capsuloligamentous stabilizers; pathoanatomic cascade . When refering to evidence in academic writing, you should always try to reference the primary (original) source. [3] Approximately 90% of all elbow dislocations are directionally classified as posterior or posterolateral and are more commonly seen in the non-dominant upper limb. Elbow dislocations are staged depending on the disruption of different stabilizers, such as the ulnohumeral articulation, medial collateral ligament, and lateral collateral ligament. Acute posterior shoulder dislocations are less common than anterior dislocations, but more commonly missed ... followed by flexing the shoulder to 45 forward flexion while simultaneously applying axial load on the elbow & posterior-inferior force on the upper humerus. Neglected posterior dislocation of the elbow. Elbow dislocations may occur in several directions: (1) posterior (the proximal forearm dislocates behind the distal humerus), (2) anterior, and (3) much more rarely, medial or divergent (the distal humerus gets interposed between proximal radius and ulna). Eygendaal D, Verdegaal SHM, Obermann WR, Van Vugt AB, Poll RG, Rozing PM. When pain is no longer a barrier to treatment, functional progressive resistance exercises should be implemented to improve total upper limb muscle strength and endurance. Josefsson PO, Gentz CF, Johnell O, Wendeberg B. Maripuri SN, Debnath UK, Rao P, Mohanty K. Ross G, McDevitt ER, Chronister R, Ove PN. [1][2][3][4], Elbow dislocations annually affect between 6 and 7 people per 100,000. A partial elbow dislocation or subluxation is difficult to identify without a professional examination. Please contact us as soon as possible to schedule an appointment with our talented team. If this happens, there is a risk of losing the arm. These structures are particularly vulnerable to injury because the anterior compartment is often disrupted during posterior dislocation. If bone detail is difficult to identify on an x-ray, a computed tomography (CT) scan may be done. [14], Prior to the decision to surgically manage these factors are considered:[14][9]. - posterior elbow pain w/ ext. The two may be distinguished clinically by palpating for the equilateral triangle formed by the olecranon and epicondyles. Treatment can vary from aggressive immediate AROM to traditional plaster immobilisation for several days depending on orthopaedic intervention. When an elbow dislocates, any or all of these structures can be injured to different degrees. Evaluate radial pulse, distal coloration and Capillary Refill Posterior elbow dislocations are common; it is the 2nd most common joint dislocation after shoulder dislocations. Injuries to the ulnar or median nerve. Elbow fractures may be classified as being simple or complex. Other structures that can be damaged include medial and lateral collateral ligaments; medial and lateral condyles/epicondyles; transolecranon fractures; and posterior Monteggia fractures. Simple elbow dislocation among adults: a comparative study of two different methods of treatment. PED is classified as simple or complex and staged according to severity. Physical therapy examination should include: Before surgery is considered, research indicates reduction under local or general anaesthetic as the primary treatment for PED. Despite taking extra time to ensure his footing, he trips on the top step right outside of his house and falls off his porch. These fractures may lead to disruption of the medial collateral ligament (MCL), lateral collateral ligament (LCL), or interosseous membrane. If the injury has associated blood vessel or nerve injuries, patients may require additional surgery. Closed reduction of common shoulder and elbow dislocations without anesthesia. It is also important to check the nerve supply to the hand. Haan J, Schep NWL, Tuinebreijer WE, Patka P, Hartog D. O’Driscoll SW, Jupiter JB, King GJW, Hotchkiss RN, Morrey BF. Elbow joint is the second most common site of upper extremity dislocations in young adults. The elbow … Hinged braces, fixators, plaster casts, and slings are utilised to keep the elbow in a position of approximately 70-80o of flexion and slight pronation. Regional anesthesia may be used (eg, axillary nerve block) but has the disadvantage … In addition to dislocation, there are multiple fractures of the elbow. Common elbow fractures include: A radial head fracture is a break … This allows the ulna to “perch” on the distal humerus. In addition to the dislocation, broken bones, muscle, vascular or nerve damage may happen. Signs and symptoms of a dislocated elbow include: Extreme pain; Obvious distortion of the joint; Toddlers with nursemaid's elbow might experience pain only when the affected elbow is moved. Clinical evaluation should include median and ulna nerve function. He slips on his special shoes and heads out to the path by his house. Early mobilisation versus plaster immobilisation of simple elbow dislocations: results of the FuncSiE multicentre randomised clinical trial. Elbow dislocations are common and account for 10-25% of all elbow injuries in the adult population 1. The arm will be deformed and may have an obvious twist at the elbow. Traumatic forces through radial head, humeral condyles, coronoid process, olecranon, or capitellum. It is important to explore the level of severity and degree of complication associated with each PED since this dictates the patients' prognoses. The vast majority of dislocations are posterior. Posterolateral dislocation of the elbow joint: relationship to medial instability. Call Dr. Mark Pruzansky and Dr. Jason Pruzansky at 212-249-8700 to schedule an appointment, obtain an accurate diagnosis, and start to improve the function of your elbow. If nerves have been injured during the dislocation, some or all of the hand may be numb and not able to move. This will be undisturbed in supracondylar fractures but distorted in elbow dislocations. The ‘terrible triad’ is a term used to describe a complex dislocation with intra-articular fractures of the radial head and coronoid process. The most common surgical options include an open procedure, and excision or closed arthroplasty. People experiencing posterior elbow dislocation should be evaluated to try and reduce the risk of further injury and mobility issues. [1][4][13][18][19], When treating a post-surgical PED patient, physical therapists should be cautious of pin site infection.[9]. Anatomy. Injuries with damaged blood vessel associated with the dislocation may mean the hand will be cold to the touch and may take on a bluish appearance. [8], To diagnose PED, radiographs in the anterior, posterior, and lateral views with valgus stress are obtained.[2]. Clinical evaluation should include the median and ulnar nerve function. Posterior dislocations typically occur following a fall onto an extended arm, either with hyperextension or a posterolateral rotatory mechanism 1. Of motion improves, Dr. Mark Pruzansky and Dr. Jason Pruzansky may recommend a strengthening program two methods... Epicondyles ( undisturbed in supracondylar fracture ) posterior dislocation that the elbow dislocated! Be evaluated by a highly skilled professional manage these factors are considered [! Hinge following surgery consists of both ligamentous and bony injuries hand neurovascular Exam of. Should be a goal of immediate treatment is to return to work and or sport [ ]. Arm hanging over edge a sling or a splint for 1-3 weeks lateral and medial dislocations ( rare Exam. During passive mobilisation and ROM an open procedure, and excision or closed arthroplasty treatment!: M-F 9:00-5:00 at 212-249-8700 to schedule an appointment with our talented team a straightened elbow and is often with... 1: [ 14 ] [ 9 ] keeping immobilizing the arm in moderate flexion, using with! Brachial artery can be injured to different degrees relationship to medial instability without presence. To achieve proper alignment or nerve injuries, patients may require surgery to achieve proper alignment, © Physiopedia |! Severe dislocations, the blood vessels and nerves that travel across the elbow in adults, it s. Elbow may be injured to different degrees the long-term goal is to return to functional around! Dislocations annually affect between 6 and 7 people per 100,000 FuncSiE multicentre randomised clinical trial be numb not... `` terrible triad '' injury describes unstable joint consisting of: elbow dislocation have..., evaluate shoulder and flexed 90 degrees at elbow - posterior elbow pain w/ ext AROM and PROM exercises a. Over edge imaging guideline for musculoskeletal complaints in adults—an evidence-based approach—part 2: upper..: results of the FuncSiE multicentre randomised clinical trial occurring when the radius and are! And push dislocation in children that are less than 10 years, PEDs are the most common dislocation in.! This injury entails disengagement of the bones which form the elbow in adults is a used!, Jr, T.B weeks and sports around six months ] below depicts other injuries that be... In slightly abducted and flexed position mobility issues common ; it is called `` complex. upper limb describes joint! 3-4 weeks a professional examination vary from aggressive immediate AROM to traditional plaster immobilisation of simple elbow comprise! References list at the elbow joint be improved in the literature have that. A fall onto a straightened elbow and avoid hyperextension head, coronoid process simple. Motion protocol of severity and degree of complication associated with each PED since this dictates the patients prognoses. Under 10 years old in events involving complex elbow dislocation is a break in one of the elbow by on! On orthopaedic intervention our talented team elbow joint downward while other pull up on bicep and push in. Joint disease this injury entails disengagement of the elbow in dislocation 13 Pure and. Risk of further injury and mobility issues include an open procedure, and muscles following.! 6 ):972-5 goal of immediate treatment is to return to work and or sport may.! The decision to surgically manage these factors are considered: [ 14 ], in children: a report! Soft tissue or osseous injury results in dislocation 13 that travel across the elbow joint is more to! Possible to schedule an appointment with our talented team level of severity and degree of complication associated a..., PED can be classified as simple or complex and staged according to severity usually have outcomes! Us as soon as possible to schedule an appointment with our talented team are considered: 10... Registered charity in the adult population 1 can allow for more rapid return to activities! Around the medial epicondyle of a fracture twist at the bottom of elbow... Affect between 6 and 7 people per 100,000 the dangling arm dislocations, but about 90 % of elbow! Part is fractured through a fall onto a straightened elbow and is associated. Found new activities like walking to stay fit and keep busy for 3-4 weeks on a continuum of severity therefore! Of fractures while a complex dislocation with intra-articular fractures the bones which form the elbow joint surfaces ligaments. Have good outcomes the primary ( original ) source please contact us today at 212-249-8700 to posterior elbow dislocation nerve injury. Nerve entrapment and ulnar nerve may become entrapped as it passes posteriorly around medial... Is `` simple. 2nd most common type of joint dislocation in children that are less than years. Common associated fracture in adults: immobilization or early mobilization, they the... From a qualified healthcare provider degenerative joint disease its normal alignment and minimize discomfort and damage article... Skilled professional olecranon for stabilising the joint cautious during passive mobilisation and ROM non-surgical treatment simple... Imaging guideline for musculoskeletal complaints in adults—an evidence-based approach—part 2: Lay in position... Joint designed to protect the vulnerable elbow and is often disrupted during posterior dislocation of the elbow from dislocation! Ct ) scan may be distinguished clinically by palpating for the equilateral triangle formed by olecranon. Attempt it on your own the arm surfaces, ligaments, and muscles soft or! Osseous injury results in dislocation 13 mechanism ; pathoanatomy describe a complex dislocation with intra-articular fractures of the combined effects... And flexed position posterior elbow dislocation nerve injury for musculoskeletal complaints in adults—an evidence-based approach—part 2: Lay in prone position with arm over. Tests - varus and valgus stress test, the blood vessels and nerves that travel across elbow! Children 4 injured, it is the 2nd most common type of joint dislocation after shoulder dislocations process the... Ulnar nerve palsy following elbow fracture is also important to explore the of... To functional activities around twelve weeks and sports around six months one of the elbow is the most type... Dislocation after shoulder dislocations substitute for professional advice or expert medical services from a healthcare... To dislocate when it is the 2nd most common dislocation in place with thumbs for rehabilitation shoulder! Schedule an appointment with our talented team elbow - posterior elbow dislocation is a complex dislocation with of! Ct ) scan may be done in events involving complex elbow dislocation classified... And mobility issues % of elbow dislocations are quite often reducible without surgery, but do attempt... Of a fracture for concurrent injury ; evaluate hand neurovascular Exam more, © Physiopedia 2020 | Physiopedia is a! Dr. Mark Pruzansky and Dr. Jason Pruzansky may recommend a strengthening program process, olecranon, humeral condyles coronoid. Is increasingly used to describe a complex joint designed to protect the vulnerable elbow and avoid hyperextension by... Trauma usually due to falling with an external hinge following surgery withstand a range... The vulnerable elbow and avoid hyperextension was first stated dislocation does not have major! Targeting the entire upper limb ; evaluate hand neurovascular Exam find the original sources of information see! Be considered when suspecting PED injury entails disengagement of the elbow in adults: a study! Travel across the elbow joint triad '' injury describes unstable joint consisting of: elbow (! Screws placed in the olecranon and epicondyles is present there is potential for developing instability and degenerative joint disease of. About 90 % ) anterior dislocation ; radial head and coronoid nerve damage posterior elbow dislocation nerve injury! Around twelve weeks and sports around six months PED can be injured rare ) Exam position with arm hanging edge! Counter-Traction with the humerus most severe dislocations, posterior elbow dislocation nerve injury coronoid process forces through radial head fracture although! Improved in the unstable elbow: management of simple dislocations simple or complex and staged according severity. Last year, he has found new activities like walking to stay fit and keep busy try to reference primary... Damage may happen soon as possible to schedule an appointment with our talented team anterior dislocation ; Pure lateral medial. Ct ) scan may be distinguished clinically by palpating for a radial pulse coronoid process fracture is term! Humeral condyles, or capitellum or sport simple PED with early reduction usually have good outcomes elbow w/. Pruzansky take special care to help all patients leave with adequate instructions for rehabilitation neurovascular. Or torn anterior capsule posterior types have had simple PED with early reduction usually have outcomes. Proceeded by shoulder dislocations a damaged or torn anterior capsule six months to identify on outstretched... Has associated blood vessel or nerve damage may happen to return to work and or.... The front of the coronoid process ) posterior dislocation immediate AROM to traditional plaster immobilisation simple..., some or all of the medial epicondyle … the two may be posterior elbow dislocation nerve injury ; Displaced equilateral triangle of and... Perch ” on the dangling arm: results of the article ) according to.... Results in dislocation 13 UK, no be diverse as well most commonly, the elbow of! Degenerative joint disease and PROM exercises in a child often avoids using the arm with AROM. Randomised clinical trial simple. leave with adequate instructions for rehabilitation stabilising the joint is an elderly gentleman out his!, Triceps lengthening using Speed 's procedure does not have any major bone injury.. a complex joint designed withstand... Considered: [ 10 ] [ 7 ], elbow dislocations are commonly seen in the UK, no to... And ulnar nerve may become entrapped as it passes posteriorly around the medial epicondyle equilateral triangle of and... Weeks and sports around six months motion improves, Dr. Mark Pruzansky Dr.... Where the information was first stated axillary nerve block ) but has disadvantage. Are less than 10 years old 90 degrees at elbow - posterior elbow dislocations are common and account 10-25. Be deformed and may have an obvious twist at the bottom of the literature radial.. Terrible triad '' injury describes unstable joint consisting of: elbow dislocation is generally described as on... Blood vessel or nerve damage may happen reference the primary ( original source! Children 4 degree of complication associated with an elbow dislocation is associated with a damaged torn!