After the shoulder, the elbow is the most commonly dislocated major joint in the body, with an annual incidence of 6.1 dislocations per 100,000 populations. Elbow dislocations account for 10-25% of all elbow injuries, and approximately 6.8% of fractures or dislocations. The majority of elbow dislocations without an associated periarticular fracture can be managed with acute closed reduction. However, a dislocation with an associated intraarticular loose body or periarticular fracture can compromise the ability to maintain joint reduction in the initial setting. In some of these instances, an elbow that remains unstable following closed reduction may require surgical intervention in the acute or semi-acute setting.