Early functional mobilization for non-operative treatment of simple elbow dislocations: a systematic review
| Autor: | Patrick Henry, Michael Catapano, Iqbal Multani, Nikola Pupic, David Wasserstein |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Rehabilitation Mobilization business.industry medicine.medical_treatment Non operative treatment Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Elbow dislocation medicine Orthopedics and Sports Medicine Surgery business Simple (philosophy) |
| Zdroj: | Shoulder Elbow |
| ISSN: | 1758-5732 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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