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Author Carter, Sadie J. ♦ Germann, Carl A. ♦ Dacus, Angelo A. ♦ Sweeney, Timothy W. ♦ Perron, Andrew D.
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Sociology & anthropology ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human anatomy, cytology, histology ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Musculoskeletal System ♦ Cardiovascular System ♦ Nervous System ♦ Anatomy ♦ Eukaryota ♦ Organisms ♦ Diagnosis ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Human Activities ♦ Anthropology, Education, Sociology and Social Phenomena ♦ Persons ♦ Persons
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Brachial Artery ♦ Injuries ♦ Elbow Joint ♦ Dislocations ♦ Diagnosis ♦ Adult ♦ Physiopathology ♦ Blood Supply ♦ Innervation ♦ Football ♦ Humans ♦ Male ♦ Radial Nerve ♦ Radiography ♦ Case Reports ♦ Journal Article
Abstract Posterior elbow dislocations are the most common type of elbow dislocation and are usually caused by a fall on an outstretched hand. Although the incidence of elbow dislocation complications is rare, the emergency physician is responsible for evaluation and identification of concomitant neurovascular injuries. Failure to identify neurovascular compromise after elbow dislocation or reduction can potentially lead to severe morbidity with limb ischemia, neurologic changes, compartment syndrome, and potential loss of limb. Cyanosis, pallor, pulselessness, and marked pain should suggest vascular injury or compartment syndrome, both requiring immediate intervention. Patients in whom it is not clear if there is vascular injury should undergo further imaging with angiography, considered the gold standard for evaluation of arterial damage. It is important for the emergency physician to maintain a high level of suspicion and evaluate for neurovascular compromise on every patient with elbow dislocation despite the low overall incidence of severe injury.
Description Country affiliation: United States
Author Affiliation: Carter SJ ( Department of Emergency Medicine, Maine Medical Center, Portland, ME, USA.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article ♦ Case study
Publisher Date 2010-10-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 28
Issue Number 8


Source: WHO-Global Index Medicus