Elbow Dislocation – Brotzman 2007

Days/Weeks Days1-4 Days 4-14

Week 2 Week 3 Week 4 Week 5 Week 6

Phase 1: Days 1-4

Splint at 90° flexion X

Cryotherapy X

HVGS X

Gripping exercise X

Avoid passive elbow ROM X

Avoid valgus stress on elbow X

Phase 2: Days 4-14

Hinged elbow brace 15-90° X

Wrist & finger AROM all planes X

Elbow/forearm AROM (avoid valgus stress):

Flexion/extension

Pronation/supination

X

Multiangle elbow isometrics:

Flexion/extension (avoid valgus stress)

X

Wrist curls/reverse curls X

Bicep curls (light) X

Shoulder exercises (avoid ER)

Stabilize shoulder during exercise

X

Phase 3: Weeks 2-6

Hinged elbow brace 0° - full extension X X X X X

Elbow and wrist PRE strengthening X X X X X

Sport specific drills and exercises X X X X

Stretching to ↑ elbow extension (low load-long duration) X X

Shoulder IR/ER exercises X

Note: ● Interval throwing initiated at 8 weeks in asymptomatic patient ● No return to play until strength is 85%-90% that of the uninvolved limb