Rehabilitation of Elbow Instability

Hand Clin. 2020 Nov;36(4):511-522. doi: 10.1016/j.hcl.2020.07.003. Epub 2020 Sep 2.

Abstract

The elbow is the second most commonly dislocated major joint in adults with estimated incidence of 5 dislocations per 100,000 persons per year. A comprehensive understanding of elbow anatomy and biomechanics is essential to optimize rehabilitation of elbow injuries. This allows for implementation of a systematic therapy program that encourages early mobilization within a safe arc of motion while maintaining joint stability. To optimize outcomes, close communication between surgeon and therapist is necessary to allow for implementation of an individualized rehabilitation program. This article reviews key concepts that enable the clinician to apply an evidence-informed approach when managing elbow instability.

Keywords: Dislocation; Elbow instability; Rehabilitation; Splinting.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena / physiology
  • Collateral Ligament, Ulnar / physiology
  • Edema / prevention & control
  • Elbow Joint / physiopathology*
  • Hot Temperature / therapeutic use
  • Humans
  • Joint Instability / physiopathology
  • Joint Instability / rehabilitation*
  • Orthotic Devices
  • Pain / prevention & control
  • Physical Therapy Modalities*
  • Range of Motion, Articular / physiology