THE PATIENT: A 21-year-old collegiate basketball player sustained a closed right elbow dislocation after falling on his extended arm during a game. The elbow was reduced in the emergency department, and radiographs confirmed a concentrically reduced elbow with no fractures. His arm was splinted at 90° of elbow flexion with the forearm in neutral rotation, and he was discharged. Ten days later, the splint was removed, and range of motion exercises were initiated. Twelve weeks later, the arm was still stiff (flexion from 45 °to 110°). There were no signs of ulnar neuropathy, and radiographs were unremarkable.
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