Early functional mobilization for non-operative treatment of simple elbow dislocations: a systematic review.

Autor:	Catapano M; Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada., Pupic N; Division of Orthopedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.; Institute of Bio-Materials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.; Toronto Rehabilitation Institute, Toronto, ON, Canada., Multani I; Royal North Shore Hospital, Sydney, NSW, Australia., Wasserstein D; Division of Orthopedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.; Orthopaedic Rehabilitation Institute, Toronto, ON, Canada., Henry P; Division of Orthopedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.; Orthopaedic Rehabilitation Institute, Toronto, ON, Canada.
Jazyk:	angličtina
Zdroj:	Shoulder & elbow [Shoulder Elbow] 2022 Apr; Vol. 14 (2), pp. 211-221. Date of Electronic Publication: 2020 Sep 14.
DOI:	10.1177/1758573220957631
Abstrakt:	Purpose: This systematic review aims to elucidate a non-operative rehabilitation program that optimizes recovery based on published approaches and outcomes. Methods: Searches of four databases from inception to 1 January 2020 were performed to identify clinical studies addressing the non-operative management of simple elbow dislocations. Results: Of 2435 studies that were eligible for title screen, 15 studies satisfied inclusion criteria. Three randomized control studies demonstrated that early mobilization expedited the return of range of motion, function and return to work or activities, however, resulted in increased pain within the six-week rehabilitation period compared to Plaster of Paris casting for 21 days. Patients returned to work sooner after early mobilization (10 vs. 18 days; p = 0.02) compared to Plaster of Paris casting. In all studies, early mobilization resulted in similar re-dislocation rates of 1.3% (3/237) versus 2.2% (12/549) in those with Plaster of Paris casting as well as lower incidence of heterotopic ossification (36% vs. 54%). No significant differences between rehabilitation protocols were determined; however, the large majority of recent papers utilized rehabilitation protocols. Conclusion: Early mobilization of simple elbow dislocations results in early return of Range-of-Motion, function and return to work with no increase in complication rates; however, increased pain during the rehabilitation period. Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© 2020 The British Elbow & Shoulder Society.)
Databáze:	MEDLINE
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