Inclusion Criteria | Exclusion Criteria |
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• Adults (≥ 18 years or older); skeletally mature • Injury to the elbow with any of the following: o Distal 1/3 humerus fracture (AO/OTA Type 13) o Proximal 1/3 ulna fracture (AO/OTA Type 2 U1) o Proximal 1/3 radius fracture (AO/OTA Type 2R1) o Elbow dislocation • Open fractures with/without nerve injury can be included • Participant presents within 7 days or less between injury and trial recruitment • Participant requires operative treatment of the fracture • Participant has a negative urine pregnancy test | • Elbow specific o Pre-existing elbow contracture, osteoarthritis, inflammatory arthritis, gout or non-specific monoarticular arthritis of the injured elbow o Inability to mobilize elbow injury within 21 days of injury or surgery o Total Elbow for fracture treatment o Prior Elbow injury or surgery o Bilateral elbow fractures and / or dislocations • Medication contraindications o Oral hypoglycemic medications o History of epilepsy o Lactose intolerance o Any female who is pregnant or nursing o Severe hepatic impairment o Severe renal impairment o Male or female of reproductive age unwilling to use 2 methods of contraception • Participant specific o Unable to maintain follow-up (no fixed address, plans to move out of town in the next year, states unable to comply with protocol, etc.…) o Has cognitive impairment or language difficulties that would impede the reliable completion of questionnaires o Concomitant musculoskeletal or visceral injuries preventing elbow physiotherapy o Unwilling or Unable to provide written informed consent. |