Name of the Procedure:

Treatment of Closed Elbow Dislocation; without Anesthesia

Summary

This procedure involves the manual repositioning of a dislocated elbow back into its proper place without the use of anesthesia. This is typically done when the dislocation is straightforward and can be corrected without significant discomfort to the patient.

Purpose

The treatment addresses a dislocated elbow, where the bones of the arm (humerus, radius, and ulna) are displaced from their normal alignment at the elbow joint. The goal is to restore the alignment and functionality of the elbow, alleviate pain, and prevent further injury and complications.

Indications

• Sudden and severe pain in the elbow
• Visible deformity of the elbow joint
• Inability to move the elbow
• Swelling and bruising around the elbow

Preparation

• No special preparation is typically required.
• Patients might be advised to avoid eating or drinking for a few hours before the procedure.
• Assessment of the dislocation through physical examination and imaging tests like X-rays may be performed.

Procedure Description

1. The patient is positioned comfortably, usually sitting or lying down.
2. The healthcare provider gently checks the range of motion and examines the dislocation.
3. Using specific manipulative techniques, the provider carefully maneuvers the bones back into their proper placement.
4. The provider checks for proper alignment and confirms the repositioning.

Duration

The procedure usually takes about 10-20 minutes.

Setting

The procedure is performed in an emergency room, hospital, or outpatient clinic.

Personnel

The procedure is typically carried out by an orthopedic surgeon or a trained emergency medicine physician, with assistance from nurses.

Risks and Complications

• Minor pain or discomfort during the procedure
• Temporary swelling or bruising post-procedure
• Rare risks include nerve or blood vessel injury, repeat dislocation, or the need for surgical intervention if the dislocation cannot be manually reduced.

Benefits

• Immediate pain relief and restoration of the elbow's function.
• Reduced risk of long-term joint damage and complications.

Recovery

• The patient may need to wear a sling or brace to immobilize the elbow for a few days.
• Pain relief can be managed with over-the-counter painkillers.
• Follow-up appointments may be scheduled to monitor healing.
• Physical therapy may be recommended to restore full range of motion and strength.

Alternatives

• Surgical reduction in cases where manual manipulation is not successful or feasible.
• Non-surgical approaches like immobilization alone, although less effective for immediate repositioning.

Patient Experience

• The patient might experience discomfort during the manipulation but significant pain relief afterward.
• Some temporary swelling or bruising might occur.
• Pain management measures, such as ice packs and analgesics, can help with post-procedure discomfort.