Elbow Dislocation: Challenges and Healing Without Surgery

Elbow dislocation that cannot be reduced or surgically repaired?

Hello, Doctor: I would like to ask about my right elbow.
On February 8, I was diagnosed with an elbow dislocation and a fracture below the elbow at the hospital.
I went to the emergency room because the area below my elbow was swollen to the size of a fist.
I underwent X-rays, a CT scan, an MRI, and consultations with various specialists.
I eventually had surgery to address a hematoma, which has been resolved.

Now, the main issue is that two orthopedic surgeons have indicated that they cannot address my elbow dislocation, while another physician suggested that it should heal naturally over time without surgery or manual reduction.
This is concerning because I have a rare condition known as neurofibromatosis.
If the dislocation is not treated, will it heal on its own? How long might it take for complete healing? Is there a risk of long-term complications?
As for the fracture below my elbow, I had a follow-up appointment at the end of last month where the doctor said it has healed and that surgery is not necessary.
However, I am most troubled by the dislocated elbow, as the doctors have said they cannot intervene, and I am unsure of what to do next.

Chen, 30~39 year old female. Ask Date: 2021/04/12

Dr. Shi Guozheng reply Orthopedics

You may need to visit a medical center to consult with a more experienced physician, specifically a specialist in shoulder and elbow joints, to see if there are options for managing the potential decrease in function if the dislocation is not reduced.

Reply Date: 2021/04/12

More Info

Elbow dislocation is a common injury that can occur due to trauma, such as falls or accidents. It involves the displacement of the bones that form the elbow joint, typically the humerus, radius, and ulna. In your case, it seems that you have not only experienced an elbow dislocation but also a fracture below the elbow, which complicates the healing process.
When it comes to treating an elbow dislocation, the standard approach usually involves a reduction procedure, where the bones are realigned back into their proper position. However, in some cases, particularly when there are associated injuries like fractures or when the dislocation is chronic, surgical intervention may be necessary. It is concerning that both orthopedic surgeons have indicated that they cannot manage your elbow dislocation and have suggested a conservative approach instead.

The healing process for an elbow dislocation without surgical intervention can vary significantly from person to person. Generally, if the dislocation is not treated, the body may attempt to heal itself over time, but this can lead to complications. The healing time can range from several weeks to months, depending on factors such as the severity of the dislocation, the presence of associated injuries, and your overall health.
One of the major concerns with untreated elbow dislocations is the potential for long-term complications, including stiffness, decreased range of motion, and chronic pain. Additionally, there is a risk of developing post-traumatic arthritis in the joint if the dislocation is not properly managed.
Given your unique situation with the presence of a rare condition, neurofibromatosis, it is crucial to have a thorough discussion with your healthcare providers. They should consider the implications of your underlying condition when determining the best course of action for your elbow dislocation. If you are not satisfied with the current opinions, seeking a second opinion from a specialist in orthopedic surgery, particularly one with experience in treating complex cases, may be beneficial.

In the meantime, it is essential to follow any rehabilitation protocols that your doctors recommend. Physical therapy can play a significant role in restoring function and mobility to the elbow joint, even if surgery is not performed. Gentle range-of-motion exercises can help prevent stiffness and promote healing.

In summary, while it is possible for an elbow dislocation to heal without surgery, it is essential to monitor the situation closely. If you experience increased pain, swelling, or loss of function, you should seek immediate medical attention. Additionally, consider discussing your concerns with your healthcare team to explore all possible treatment options, including the potential for surgical intervention if conservative management does not yield satisfactory results.

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