Elbow Dislocation Recovery: Common Concerns and Solutions

Elbow dislocation

In May, I dislocated my elbow due to a fall while exercising.
It was reduced about an hour later, and I wore a cast for approximately two weeks.
After that, I started rehabilitation and strength training, which has continued for over three months.
I have a pre-existing issue with my arm being unable to fully extend.
Currently, my extension angle is about 20 degrees less compared to my other arm.
However, sometimes when I practice strength training, my elbow tends to get stuck when bending to straighten it, especially on the inner side.
Additionally, the medial olecranon appears to protrude more than it originally did.
I would like to know if this is normal.
Thank you, doctor! I appreciate your hard work!

Jianjian, 10~19 year old female. Ask Date: 2020/08/04

Dr. Zhan Xian reply Orthopedics

Hello, based on what you mentioned, you will need a physical examination and imaging studies.
Please visit the orthopedic outpatient clinic.

Reply Date: 2020/08/04

More Info

Elbow dislocation is a common injury, especially among athletes and active individuals. Recovery from such an injury can be a complex process, and it is not uncommon for patients to have concerns about their recovery trajectory, particularly regarding range of motion, strength, and any lingering symptoms. Based on your description, it seems you are experiencing some typical post-dislocation issues, but let’s delve deeper into your concerns.

Firstly, it’s important to understand that after an elbow dislocation, the recovery process can vary significantly from person to person. Factors such as the severity of the dislocation, the presence of any associated injuries (like fractures), and the individual’s overall health and adherence to rehabilitation protocols can all influence recovery time and outcomes.
You mentioned that you had your elbow dislocated in May and that you have been in rehabilitation for over three months. It is quite common for patients to experience limitations in range of motion after such injuries. The fact that your extension is about 20 degrees less than your other arm is not unusual. Many patients find that they have some residual stiffness or decreased range of motion after an elbow dislocation, particularly in extension. This can be due to several reasons, including soft tissue tightness, joint capsule stiffness, or even changes in the bone structure after the injury.

Regarding your concern about the inner side of your elbow feeling "stuck" during strength training, this could be related to a few factors. After an elbow dislocation, the ligaments and soft tissues around the joint may take time to heal and regain their normal elasticity. If you are experiencing a sensation of catching or locking, it could indicate that there is some residual swelling or scar tissue that is affecting the smooth movement of the joint. It’s also possible that the muscles and tendons around the elbow have not fully adapted to the new range of motion, which can lead to discomfort during certain movements.

The prominence of the olecranon (the bony tip of the elbow) that you mentioned could be due to changes in the joint alignment or soft tissue changes following the dislocation. Sometimes, after a dislocation, the joint may not return to its original anatomical position, leading to a more pronounced appearance of certain bony landmarks.
To address your concerns, here are some recommendations:
1. Continued Rehabilitation: It's crucial to continue with your rehabilitation exercises as prescribed by your physical therapist. Focus on both flexibility and strength training, as both are essential for restoring function to the elbow. Your therapist can provide specific exercises to improve your range of motion and strength while minimizing discomfort.

2. Gentle Stretching: Incorporate gentle stretching exercises to help improve your extension. This can help reduce stiffness and improve your overall range of motion. Be sure to perform these stretches within a pain-free range.

3. Monitor Symptoms: Keep track of any symptoms you experience, such as pain, swelling, or instability. If you notice any significant changes or if your symptoms worsen, it would be wise to consult with your healthcare provider.

4. Consult a Specialist: If you continue to have concerns about your elbow's function or if you feel that your recovery is not progressing as expected, consider seeking a second opinion from an orthopedic specialist. They may recommend imaging studies, such as an X-ray or MRI, to assess the joint and surrounding structures for any underlying issues.

5. Patience and Persistence: Recovery from an elbow dislocation can take time, and it’s important to be patient with yourself. Many individuals experience gradual improvements over several months, and consistent rehabilitation efforts can lead to significant gains in function.

In summary, while some of the symptoms you are experiencing are common after an elbow dislocation, it is essential to continue your rehabilitation and consult with your healthcare provider if you have any concerns. With time and appropriate care, many individuals can regain full function and return to their normal activities.

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