Locked Elbow Dislocation: Recovery Time and Implications - Orthopedics

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Closed dislocation of the left elbow?


Hello Doctor: My sister was involved in a car accident on November 22, 2007, which resulted in a closed dislocation of her left elbow.
It has been over two months, and she still cannot exert force or ride a motorcycle.
Since she works in sales, she is unable to work or ride a scooter.
I would like to ask what a closed dislocation of the left elbow is, and generally, how long does it take to rest before she can ride a motorcycle or return to normal work? Thank you, Doctor.

Xie, 20~29 year old female. Ask Date: 2008/01/19

Dr. Ye Qingnian reply Orthopedics


Hello, Miss: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Generally speaking, since your left elbow has been dislocated for two months, it is important to start rehabilitation as soon as possible to avoid joint and movement restrictions.
Once joint mobility is restored and strength is regained, it will be safer to ride a bike.
As for when you can return to work, it depends on the nature of your job.
If you have a desk job, you may be able to work, but if it involves lifting heavy objects, you may not be able to do so.
Finally, I wish you peace and happiness!

Reply Date: 2008/01/19

More Info


Understanding a locked elbow dislocation involves recognizing the nature of the injury, its implications for recovery, and the necessary rehabilitation process. A locked elbow dislocation, particularly in the context of your sister's injury, refers to a situation where the bones of the elbow joint (the humerus, radius, and ulna) are displaced in such a way that they cannot move freely. This can occur due to trauma, such as a car accident, and may result in significant pain, swelling, and loss of function in the affected arm.

In your sister's case, having sustained a closed elbow dislocation means that the skin over the elbow joint was not broken, which is a positive aspect as it reduces the risk of infection. However, the dislocation can lead to complications such as joint stiffness, nerve damage, or even vascular injury if not treated properly. The fact that she is still unable to apply force or perform normal activities two months post-injury suggests that she may be experiencing complications such as joint stiffness or possibly even a failure to regain full range of motion.

Recovery time for a locked elbow dislocation can vary significantly based on several factors, including the severity of the dislocation, the treatment received (whether it was treated conservatively or surgically), and the individual's overall health and adherence to rehabilitation protocols. Generally, if the dislocation was reduced (put back into place) promptly and effectively, and if there are no significant complications, patients can expect a recovery period ranging from a few weeks to several months.
In most cases, after a closed elbow dislocation, a period of immobilization is often required, followed by a structured rehabilitation program to restore range of motion, strength, and function. Physical therapy plays a crucial role in this recovery process. It typically includes exercises to improve flexibility, strength training, and functional activities to help the individual return to their daily routines, including work and recreational activities like riding a motorcycle.

For your sister, if she is still experiencing significant limitations after two months, it would be advisable for her to follow up with an orthopedic specialist. They may recommend imaging studies, such as X-rays or an MRI, to assess the joint's condition and determine if there are any underlying issues that need to be addressed.
In terms of returning to work and riding a motorcycle, this will largely depend on her recovery progress. If she is still unable to apply force or perform necessary movements, it may be premature for her to return to her job or ride a motorcycle. A healthcare provider can give a more accurate timeline based on her specific situation, but generally, patients are encouraged to avoid activities that could stress the joint until they have regained sufficient strength and range of motion.

In conclusion, a locked elbow dislocation can have significant implications for recovery and daily functioning. It is essential for your sister to engage in a comprehensive rehabilitation program and to maintain open communication with her healthcare providers to ensure a safe and effective return to her normal activities.

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