Physical Exam Features
Elbow in 45 degrees flexion
Olecranon prominent posteriorly
Assess Neurovascular Structures!!!!
Associated Injuries
“Terrible Triad:”
Elbow dislocation
Coronoid fracture
Radial Head fracture
Most commonly affected neurovascular structures
Ulnar Nerve
Brachial Artery
X-RAY Features
Elbow: AP / Lat
Posterior displacement of ulna and radius
+/- Coronoid Fracture
+/- Radial Head Fracture
Most common dislocation type
Posterior lateral
ED Management
Long Arm Posterior Splint Forearm in pronation
Referral to Ortho within 1 day (immediate if unstable)