{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:49:32Z","timestamp":1790423372058,"version":"4.1.0"},"reference-count":29,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2015,6,17]]},"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Background\/aim<\/jats:title><jats:p>To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enrolled in this multicentre randomised controlled trial. Patients were randomised to early mobilisation (n=48) or 3\u2005weeks plaster immobilisation (n=52). Primary outcome measure was the<jats:italic>Quick<\/jats:italic>Disabilities of the Arm, Shoulder, and Hand (<jats:italic>Quick<\/jats:italic>-DASH) score. Secondary outcomes were the Oxford Elbow Score, Mayo Elbow Performance Index, pain, range of motion, complications and activity resumption. Patients were followed for 1\u2005year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>Quick<\/jats:italic>-DASH scores at 1\u2005year were 4.0 (95% CI 0.9 to 7.1) points in the early mobilisation group versus 4.2 (95% CI 1.2 to 7.2) in the plaster immobilisation group. At 6\u2005weeks, early mobilised patients reported less disability (<jats:italic>Quick<\/jats:italic>-DASH 12 (95% CI 9 to 15) points vs 19 (95% CI 16 to 22); p&lt;0.05) and had a larger arc of flexion and extension (121\u00b0 (95% CI 115\u00b0 to 127\u00b0) vs 102\u00b0 (95% CI 96\u00b0 to 108\u00b0); p&lt;0.05). Patients returned to work sooner after early mobilisation (10 vs 18\u2005days; p=0.020). Complications occurred in 12 patients; this was unrelated to treatment. No recurrent dislocations occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early active mobilisation is a safe and effective treatment for simple elbow dislocations. Patients recovered faster and returned to work earlier without increasing the complication rate. No evidence was found supporting treatment benefit at 1\u2005year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration number<\/jats:title><jats:p>NTR 2025.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsports-2015-094704","type":"journal-article","created":{"date-parts":[[2015,7,15]],"date-time":"2015-07-15T02:15:46Z","timestamp":1436926546000},"page":"531-538","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":85,"title":["Early mobilisation versus plaster immobilisation of simple elbow dislocations: results of the FuncSiE multicentre randomised clinical trial"],"prefix":"10.1136","volume":"51","author":[{"given":"Gijs I T","family":"Iordens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther M M","family":"Van Lieshout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels W L","family":"Schep","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen","family":"De Haan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim E","family":"Tuinebreijer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Eygendaal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed","family":"Van Beeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Patka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H J","family":"Verhofstad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Den Hartog","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"2024051410363716000_51.6.531.1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01663"},{"key":"2024051410363716000_51.6.531.2","doi-asserted-by":"publisher","DOI":"10.3109\/17453678609014788"},{"key":"2024051410363716000_51.6.531.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-531"},{"key":"2024051410363716000_51.6.531.4","doi-asserted-by":"crossref","first-page":"244","DOI":"10.2106\/00004623-198870020-00013","article-title":"Simple dislocation of the elbow in the adult. 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