n International SportMed Journal - The management of fractures of the elbow joint in athletes : review article




&lt;I&gt;Objective:&lt;/I&gt; A thorough review of the literature regarding fracture management of injuries to the elbow was reviewed, with emphasis placed on the care of the athlete. <br><I>Data sources:&lt;/I&gt; The MEDLINE electronic database was searched from its inception to August 2004 with the following terms: elbow joint, athletic injuries, radius fractures, ulna fractures, Monteggia fractures, dislocations, and humerus fractures. <br><I>Study section:&lt;/I&gt; Review articles, book chapters, original research, and case reports were used to construct this review. <br><I>Data extraction:&lt;/I&gt; Results from the literature search were reviewed by the authors and selected to pertain to the treatment of the athlete. Studies with treatment and prognostic information were preferentially outlined and reviewed. <br><I>Data synthesis:&lt;/I&gt; Proximal radius, coronoid, olecranon, Monteggia, and distal humerus fractures, as well as elbow dislocations, were thoroughly reviewed with regard to diagnosis, treatment, and prognosis. &lt;br&gt;&lt;I&gt;Conclusions:&lt;/I&gt; Most fractures about the elbow have a good prognosis for return to sport. Many can be treated conservatively with protected but early range of motion. More complex elbow fractures and dislocations require precise diagnosis and surgical treatment for optimal outcome, and the prognosis for return to sport is more guarded in these circumstances.


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