Chronic Elbow Instability – Recurrent Dislocation – OrthoInfo

Elbow instability is a looseness in the elbow joint that may cause the joint to catch, pop, or slide out of place during certain arm movements. It most often occurs as the result of an injury — typically, an elbow dislocation. This type of injury can damage the bone and ligaments that surround the elbow joint.

When the elbow is loose and repeatedly feels as if it might slip out of place, it is called recurrent or chronic elbow instability.

Your elbow is made up of your upper arm bone (humerus) and the two bones in your forearm (radius and ulna).

On the inner and outer sides of the elbow, strong ligaments (collateral ligaments) hold the elbow joint together and work to prevent dislocation. The two important ligaments are the lateral (outside) collateral ligament and medial (inside) collateral ligament. The muscles that cross the elbow joint also contribute to the stability of the joint.

(Left) The bones of the elbow and forearm shown with the palm facing forward. (Right) The ligaments of the elbow.

Reproduced with permission from J Bernstein, ed: Musculoskeletal Medicine. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2003.

There are three different types of recurrent elbow instability:

• Posterolateral rotatory instability. The elbow slides in and out of the joint due to an injury of the lateral collateral ligament complex, a soft tissue structure located on the outside of the elbow. This is the most common type of recurrent elbow instability. Associated fractures can also occur with this type of instability.
• Valgus instability. The elbow is unstable due to an injury of the medial collateral ligament, a soft tissue structure located on the inside of the elbow.
• Varus posteromedial rotatory instability. The elbow slides in and out of the joint due to an injury of the lateral collateral ligament complex, in addition to a fracture of the coronoid portion of the ulna bone on the inside of the elbow.

A fracture of the coronoid process and a dislocation may lead to an unstable elbow that requires surgery.

There are different causes for each of the different patterns of recurrent elbow instability:

• Posterolateral rotatory instability is typically caused by a trauma, such as a fall on an outstretched hand. It may also develop as a result of a previous surgery, or longstanding elbow deformity.
• Valgus instability is most often caused by repetitive stress as seen in overhead athletes (such as baseball pitchers). Like the other forms of recurrent elbow instability, it may also result from a traumatic event.
• Varus posteromedial rotatory instability is typically caused by a traumatic event, such as a fall.

Recurrent elbow instability may cause locking, catching, or clicking of the elbow. You may also have a sense of the elbow feeling like it might pop out of place. This feeling commonly occurs while pushing off from a chair.

Overhead athletes may have pain on the inside of their elbow when throwing, or a loss in throwing velocity (speed) and ball control.

Medical History and Physical Examination

After discussing your symptoms and medical history, your doctor will examine your elbow. They will check to see whether the elbow is tender in any area or whether there is a deformity. Your doctor will have you move your arm in several different directions to test for instability or a popping or sliding sensation. They will also test your arm strength and make sure there are no injuries to your nerves.

Many cases of elbow instability can be diagnosed based solely on the medical history and physical examination results.

In many cases, patients feel instability when pushing up from a seated position.

Reproduced with permission from Ricchetti ET, Ramsey ML, Getz CL: Physical examination of the elbow joint. Orthopaedic Knowledge Online Journal 2010. Accessed May 2013.

Imaging Tests

X-rays. Although X-rays cannot show soft tissues like the ligaments, they can be useful in identifying fractures, dislocations, or subtle changes in elbow alignment.

Magnetic resonance imaging (MRI). An MRI scan creates better images of soft tissues than an X-ray, and it may show tears in the ligaments, muscles, or tendons. MRI scans are typically not necessary, however, to diagnose elbow instability.

Nonsurgical treatment options are effective at managing symptoms in most patients with valgus instability. However, a highly competitive overhead athlete who has a complete medial collateral ligament tear may require surgery to return to full function.

Some cases of posterolateral rotatory instability can also improve with nonsurgical treatment, but surgery may be needed if there is chronic stress of the lateral collateral ligament or significant associated fractures.

People with varus posteromedial instability almost always require surgery to repair the broken bone and the ligament injury. Without surgery, this injury may lead to continued instability and early arthritis of the elbow joint.

Nonsurgical Treatment

Nonsurgical management includes:

• Physical therapy. Specific exercises to strengthen the muscles around the elbow joint may improve symptoms.
• Activity modification. Symptoms may also be relieved by limiting activities that cause pain or feelings of instability.
• Bracing. A brace may help to limit painful movements and stabilize the elbow.
• Non-steroidal anti-inflammatory drugs (NDAIDs). Anti-inflammatory drugs like aspirin, ibuprofen, and naproxen may be helpful with pain during the initial injury.

Surgical Treatment

People with chronic elbow instability may require surgical treatment to return to full use of their arm and elbow.

• Ligament reconstruction. Most ligament tears cannot be sutured (stitched) back together. To surgically repair the injury and restore elbow strength and stability, your doctor may need to reconstruct the ligament. During the procedure, the doctor replaces the torn ligament with a tissue graft, which serves as a new ligament. In most cases, the ligament can be reconstructed using one of the patient’s own tendons, but sometimes the doctor will use an allograft (cadaver graft).
• Ligament repair. In some cases, when the ligament injury is relatively fresh or the remaining soft tissues are healthy, your surgeon may recommend repairing the ligament with sutures.

The injured lateral collateral ligament is replaced with a tendon graft. The ligament capsule surrounding the elbow is plicated (tightened) and reattached to the bone.

Reproduced and adapted with permission from Yadao MA, Savoie FH, Field LD: Posterolateral rotatory instability of the elbow. Instructional Course Lectures 2004; 53:607-614.

• Fracture fixation. Patients with unstable elbows with significant associated fractures require treatment to repair both the broken coronoid bone and the torn ligament. During the operation, the broken bone fragments are repositioned into normal alignment, then held together with special screws and, sometimes, a metal plate.

This X-ray, taken from the front of a straightened elbow, shows a coronoid fracture fixed with a metal plate and screws.

Reproduced with permission from Steinmann SP: Coronoid process fracture. J Am Acad Orthop Surg 2008; 16: 519-529.

During the first week after surgery, you will most likely wear a splint to protect your elbow as it begins healing.

Rehabilitation typically begins in the second week after surgery. The splint will be replaced with a brace that limits how far you can bend or straighten your elbow, but allows you to begin exercises to improve range of motion. With a commitment to rehabilitation, you may regain full range of motion by 6 to 10 weeks after surgery.

Physical therapists will often prescribe strengthening exercises 3 months after the procedure, and most patients return to full activities by 6 to 12 months after surgery.

Throwing athletes may require up to a year of rehabilitation before returning to competitive sports.

Recurrent elbow instability is a relatively new concept. Future research will provide a better understanding of the interaction between the muscles, ligaments, and bones. Newer techniques are always evolving for reconstructing the ligaments. Research will lead to better ways to diagnose, treat, and recover from these complex injuries.

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Dislocated Elbow Symptoms, Causes, and Treatment

Written by WebMD Editorial Contributors

Medically Reviewed by Poonam Sachdev on April 12, 2023

• Elbow Dislocation Overview
• Elbow Dislocation Causes
• Elbow Dislocation Symptoms
• When to Seek Medical Care for Elbow Injuries
• Exams and Tests for Elbow Dislocation
• Elbow Dislocation Treatment and Self-Care at Home
• Different Types of Elbow Injuries
• Next Steps for a Dislocated Elbow
• Dislocated Elbow Recovery Time
• Prevention of Elbow Dislocation
• Outlook for Elbow Dislocation
• Elbow Dislocation in Children
• More

An elbow dislocation happens when the bones of the forearm (the radius and ulna) move out of place, compared with the bone of the upper arm (the humerus). The elbow joint, formed where these 3 bones meet, becomes dislocated, or out of joint.

Specific, serious injuries that may occur are fractures (breaking of the bones in the arm), injuries to the arteries in the arm (the vessels carrying blood to the hand), and injuries to the nerves that run through the elbow area, impairing movement and feeling in the arm and hand.

The cause of most elbow dislocations is usually a fall, most commonly with the arm all the way out. But any traumatic injury (such as a car crash) can result in an elbow dislocation.

Severe pain in the elbow, swelling, and not being able to bend your arm are all signs of an elbow dislocation.

In some cases, you may lose feeling in your hand or no longer have a pulse (can’t feel your heartbeat in your wrist). Arteries and nerves run by your elbow, so it is possible you might have injured them during the dislocation.

You should go to the doctor’s office or hospital’s emergency department right away if you can’t move your elbow, have severe pain, can’t feel your hand, or have no pulse in your wrist.

The doctor will begin with an examination.

• The doctor will make sure your nerves and arteries are unhurt by checking your pulse, making sure you can feel normally, moving your fingers and wrist, and making sure that blood is flowing normally to your hand.
• Next, the doctor will get X-rays. Sometimes, breaks in the bone can look like dislocations, and some breaks happen when dislocations happen.
• If the doctor suspects an injury to your artery, further tests, such as an arteriogram (an X-ray of your artery) may be done. Sometimes, an MRI or CT scan may be needed. 

An elbow dislocation is a serious injury that needs medical care. At home, put ice on the elbow. This will help with the pain and will reduce some of the swelling. But the most important thing to do is to see a doctor.

It is best for a doctor to examine this injury, but at home, you can also check for a few signs that will show if the artery in the arm and the nerves are intact.

• To check on the artery, feel below your thumb at the base of your wrist. You should be able to feel your pulse. Press on the tips of your fingers. They should blanch (turn white) and then return to a normal pink color within 3 seconds. If either of these tests is abnormal, seek medical care right away.
• Three nerves run by the elbow. Each nerve has portions that help with strength and feeling. First, check for strength by bending your wrist up as if you were saying “Stop” (radial nerve function), then spread your fingers apart (ulnar nerve function), then try to touch your thumb to your little finger (median nerve function). If you have trouble with any of these tests, see a doctor right away.
• Check for feeling by touching all over your hand and arm. If any feeling of numbness results, see a doctor right away.

There are three basic kinds of elbow dislocation:

• A simple one doesn’t involve a major bone injury.
• A complex one does have broken bones. You might need surgery to fix it.
• A severe dislocation involves injured blood vessels and nerves. 

With a complex dislocation, surgery to repair the damage may lead to bone growth in the soft tissue in your elbow. If this happens to you, your doctor may call it “heterotopic ossification.”

The doctor will reduce (put back in place) your elbow by pulling down on your wrist and levering your elbow back into place. This is very painful, so powerful medications for pain may be given before reduction.

After your elbow is back in place, the doctor will get X-rays and then put you in a splint that will keep your elbow bent. The splint will make an “L” around the back of your elbow. It will be made of plaster or fiberglass. Its purpose is to prevent movement of your arm at the elbow. Usually, your arm will be placed in a sling to help you hold up your splint.

After you are sent home from the doctor’s office, you will be told to follow up with a bone doctor (orthopedist).

Wear your splint. Do not move your elbow. Elevate your elbow as much as possible, and ice it to ease swelling.

Complex dislocations that need surgery are tougher. Sometimes it’s better to delay the operation. This gives the swelling time to go down. It may be best to rest your elbow in a brace or splint for about a week before surgery.

Your physical therapist will create a rehab program just for you. Here’s what a basic post-op routine might look like:

• 1-4 weeks: Keep your elbow raised. Use ice to ease swelling. Use a splint when you’re still, but you will do some range-of-motion exercises. Your physical therapist may massage the area – they might call this soft-tissue mobilization.
• 5-8 weeks: You’ll add exercises with and without weights to your range-of-motion routines. If you’re an athlete, you’ll work in some sport-specific activities, too. And you’ll continue the soft-tissue treatments.
• 9-16 weeks: By now, you’ll have full range of motion and normal strength in your elbow. You should be back to doing what you did before the injury.

Do not fall on your outstretched arm. Avoid situations that would make falls more common (such as walking at night or being around slippery floors. Overtraining in sports, especially ones that involve throwing, can also lead to dislocation. 

Generally, this injury heals well. After watching closely for 3-5 days, the bone doctor will have you begin gentle movement exercises of your elbow. Usually, recovery happens without any lasting effects.

You may be more likely to take your kid in for this kind of injury than to get one yourself. There’s a type of partial dislocation called nursemaid’s elbow, or pulled elbow, and it’s common in tots 4 and younger.

It usually happens when you pull children by their hands. Their ligaments are loose because their bones aren’t fully formed. It’s easy for them to slip right over the radial head – the thing that helps them flex and bend their elbow and forearm – or get trapped in the elbow joint.

It happened to Bethany Afshar’s daughter Katie twice. The first time was when she was almost 2 and ran behind her big brother into a swimming pool. Her father quickly pulled her out of the pool by her left arm.

“Later, we noticed that she couldn’t pick up a pacifier with that arm and took her to urgent care,” says Afshar, who lives in Georgia. “They gave her a Popsicle, lifted her arm and twisted it real quickly back into place, just like that.”

Katie got the same treatment after it happened again in preschool a year or two later, “probably on the jungle gym,” Afshar says. Katie is 9 now, and it hasn’t happened since. The risk drops as kids get older – their ligaments tighten and their bones grow.

“Nursemaid’s elbow is one of my favorite diagnoses, because it’s so fixable in the moment,” says Kate Cronan, MD, an emergency room physician at Alfred I. DuPont Hospital for Children in Wilmington, DE. “It’s rare that we can fix something that easily and make a child feel all better that quickly. ”

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Dislocation of the elbow joint: symptoms, treatment, prevention

The elbow is formed by three bones: the humerus, radius and ulna. When a displacement occurs at their junction, it is a dislocation.

Types and causes of elbow dislocation:

• when a person falls back and leans on a straight arm – this is a posterior dislocation and it occurs more often than others;
• when falling forward on a straight arm, anterior dislocation occurs, a more rare occurrence;
• if struck directly on the elbow or struck against something;
• accidental dislocation, such as when the arm is pulled hard – this happens with young children under 3 years of age.

Elbow dislocation is complete – in this case, the bones do not touch each other, and incomplete (subluxation), when they are partially in contact.

Symptoms of dislocation of the elbow joint

Dislocation can be identified immediately – it has very pronounced symptoms:

• acute pain at the site of dislocation;
• inability to move the arm – the pain gets worse;
• swelling in the elbow area;
• hand goes numb;
• rapidly rising temperature, may have fever or chills.

Treatment of dislocation of the elbow

A traumatologist should correct a dislocation of the elbow, because this injury has serious complications – fractures of one or more bones, damage to the median and ulnar nerve, brachial artery. In these cases, you will need the help of other specialists. It is visually difficult to understand if there are complications, since the elbow joint swells strongly during dislocation.

Diagnosis

Elbow dislocation can be determined visually – the forearm is usually shorter and the elbow sticks out sharply. But since there may be complications that are not visible due to edema, the doctor may prescribe additional diagnostics:

• x-ray – it will show the degree of damage to the joint, make it clear whether the muscles and nerves are damaged;
• vascular examination;
• pulsometry – will show if blood circulation is disturbed;
• consultation of a neurologist – in the case when the arm is immobile and there is a suspicion that the nerve endings are damaged.

Modern methods of treatment

Elbow dislocation is reduced either under local anesthesia or under general anesthesia, depending on the severity. As a rule, the arm is simply slowly extended until the joint is in place.

When the dislocation is reduced, they check how stable the joint works – it is fully flexed and extended, and the doctor checks whether it moves easily.

If everything is normal, the joint is immobilized – a splint is applied, which must be worn for 7-10 days. During this time, the pain will pass and the swelling will subside. And after another 2 – 3 weeks you will have to walk with a special bandage.

When dislocations are complex, nerve endings, ligaments or arteries are damaged, surgery may be necessary.

Rehabilitation after dislocation of the elbow joint

The treatment of dislocation is quite long, but the rehabilitation lasts even longer. It usually includes:

• exercise therapy – a set of exercises that will help restore joint mobility and strengthen muscles;
• physiotherapy – warming up;
• swimming, which is prescribed in a month after the bandage is removed – it helps to develop the joint;
• massage – it helps to improve blood flow at the site of dislocation;
• vitamins.

Elbow Dislocation Prevention

Take precautions during physical work and sports. In winter, wear stable, non-slip shoes – a dislocated elbow often occurs when a person falls on a straight, unbent arm.

Popular questions and answers

What to do with a dislocation and what it can threaten? We asked traumatologist-orthopedist Valentin Panov to answer these questions .

How to provide first aid for a dislocated elbow?

In case of dislocation of the elbow joint, the hand must be immobilized with a scarf and the victim taken to the emergency room or hospital. The doctor will correct the dislocation under anesthesia, after which the elbow will be fixed with a plaster or polymer bandage.

What are the possible complications of a dislocated elbow?

When the elbow joint is dislocated, the bones that form it are often damaged. Bone fractures today are treated surgically, with good results. Periarticular ligaments torn during dislocation often grow together on their own, if the prescribed period is kept in a cast. If instability persists after removal of the cast, the ligaments are repaired in the operating room.

Very rarely, a dislocated elbow causes nerve damage. With their complete rupture, the help of a neurosurgeon will be required. 90,003 90,000 shelling, beatings, attacks on agitators of the Communist Party. The headquarters of “United Russia” adopted Bandera’s methods of fighting the communists

Elections in Novosibirsk are increasingly turning into criminal lawlessness. Communists become the main target of bandits and provocateurs. And this is not surprising, because the candidate for mayor of Novosibirsk from the Communist Party Anatoly Lokot is confidently leading the election race. It is clear that those in power are not at all satisfied with this alignment, so they are ready for anything to prevent the victory of the communists.

KPRF.ru

2014-03-22 21:30 (update: 2014-03-23 ​​00:57)

Anatoly Evgenievich Lokot

Mayor of Novosibirsk, member of the Presidium of the Central Committee of the Communist Party of the Russian Federation, first secretary of the Novosibirsk Regional Committee of the Communist Party of the Russian Federation

90 085 There is growing evidence that the headquarters of United Russia, which was losing the elections, adopted Bandera’s methods of fighting the communists.

The chronicle of pre-election lawlessness testifies to what is happening in Novosibirsk.

March 5,

The headquarters of Anatoly Lokt, a candidate for mayor of Novosibirsk, recorded two cases of theft of campaign stands and one attempt to steal the flag. All incidents occurred in the Zaeltsovsky district of Novosibirsk.

According to information from KPRFNsk, the headquarters of one of the candidates, being unable to conduct an honest election campaign, is buying up Anatoly Lokt’s campaign, thus being a sponsor and customer of the theft and attacks on pickets.

At the Planovaya stop, a young man grabbed a campaign stand with a picture of a communist candidate and ran into the yards.

On the square. Kalinin there were two incidents. Near the Champion Store stop, the woman insulted the Communist Party agitator, tried to start a brawl, and then, grabbing the stand, disappeared into the yards. Near the stop “Metro Zaeltsovskaya” two young people snatched the flag from the flagpole and tried to run away in the direction of the shopping center “Royal Park”. The agitator girl began to pursue them, seeing the chase, the attackers threw the flag and disappeared.

March 8,

In the Kirovsky district, the agitators of the candidate for mayor of Novosibirsk Anatoly Lokt faced a shameless purge and threats from the “support group” of the main opponent in the elections. KPRFNsk published the impressions of agitators from working “in the field”.

“On March 8, on International Women’s Day, a propaganda group of the Communist Party of the Russian Federation went on a campaign raid in the Kirovsky district along the Rastochka residential area. All day long, the Kirov communists calmly spread propaganda material, but in the evening a “surprise” awaited them. It all started with the fact that at first a young man of about seventeen came up and asked the agitators what they were doing. The agitators replied that they were carrying the newspapers of Anatoly Lokt, a candidate for mayor of Novosibirsk. To which the teenager replied: “Who told you to wear it here?”

Then the fun began. Near the house at st. Mira, 34, the agitators noticed that a group of teenagers began to follow them. The propagandists hid in the stairwell on the floor above and decided to lie in wait for the teenagers, and it turned out that they were pulling the candidate from the Communist Party of the Russian Federation out of the mailboxes of the newspapers.

The agitators left the entrance and, approaching the teenagers, made a remark to them, explaining that this act is regulated by the Code of Administrative Offenses. After that, the agitators stood near the next entrance and said that if the teenagers go to “clean” the boxes of agitation, they will be filmed and the police will be called. In response to this, the teenagers called some people, and literally a few minutes later they arrived in two cars – a VAZ with a license plate С753МХ154 and a Hyundai with a license plate С342ВТ154, as if from dashing 90’s, the real “brothers” who said that the agitators are wrong, and teenagers have the right to clean up the campaign.

“Brothers” blocked the entrance to the entrance, and teenagers ran in and carried Anatoly Lokt’s crumpled newspapers in their hands. Then the “brothers” called a certain “Andrey” and said that the communists were preventing the guys from cleaning the boxes. At this time, the teenagers, feeling protected, said that they were cleaning up the agitation and candidate Ksenzov, and that they were doing all this for money and weren’t just cleaning up the campaign for Znatkov, and after that their tongues completely loosened and they declared that they were from Sports Club “Success” If the communists interfere with them, then, according to them, the deputies of the City Council from United Russia Tarasov and Asantsev can cause problems for the agitators.

After some time, realizing that nothing could be done with the agitators, one car with the “brothers” left. People went into the entrance and again put newspapers into the boxes, after which another “brother” approached them and said that he would now push the agitators into the trunk and throw them out in the forest, and that he would not get anything for it, since he, allegedly, can turn for help to the same deputy Tarasov. In addition, he stated that if the agitators had flags, he would have taken them away, since he knows how much they pay for them (we recall that earlier in the Kirovsky district, unknown people stole a flag from one of the agitators). But the propagandists declared that they would guard the newspapers even until nightfall, and he, too, left home. After some time, the teenagers lost their nerve, and they left, and the communists, with a sense of accomplishment, went to rest.

March 10,

On the night of Saturday to Sunday, the headquarters of the candidate for mayor of Novosibirsk Anatoly Lokt, located in the Novosibirsk regional committee of the Communist Party, was attacked.

Unidentified persons cut up the campaign banner of Anatoly Lokt, a candidate for mayor. Also, the headquarters building was fired from traumatic weapons, one of the windows was broken. In addition, on the night from Sunday to Monday, another campaign banner of Anatoly Lokt, located on the Kamenskaya highway, was cut.

Anatoly Lokt’s headquarters regards these facts as an attempt to put pressure on the candidate.

According to these facts, representatives of the election headquarters wrote statements to law enforcement agencies.

March 14

Law enforcement officers guarded the Yeltsovsky public center, where representatives of Anatoly Lokt’s headquarters found a stolen campaign banner and bags with campaigning cleaned from mailboxes .

Anatoly Lokt’s headquarters received information that one of the stolen banners in support of a communist candidate and bags with campaigning cleared from mailboxes are in the premises of the Yeltsovsky Public Center at ul. Zhukovsky, 106a. Representatives of Anatoly Lokt’s electoral headquarters, having arrived at the municipal center, actually discovered campaigning and a banner that had been cut off a balcony in the Zaeltsovsky district a few days ago. After the activists started filming inside the building, the young people pushed them out into the street, locked the doors and fled in a VAZ-2114 car with license plate X424NH 54.

Soon law enforcement officers arrived on the scene. A representative of the headquarters of Anatoly Lokt, who was on duty at the Yeltsovsky center, wrote a statement indicating that a stolen banner was located in this room.

Some time later, a young man was brought to the mobile police station located in front of the Yeltsovsky entrance, who pushed out Anatoly Lokt, a representative of the headquarters. As a “support group” a man arrived with him, introducing himself as a “director of the company.” These citizens gave explanations to law enforcement officers, insisting that the banner had been planted on them.

The police failed to get into the premises of the Yeltsovsky public center. The head of the organization for unknown reasons could not arrive at the scene. As a result, the police sent guards.

March 18,

Pickets in support of Anatoly Lokt, a candidate for Novosibirsk mayor, are being attacked in the Kalininsky District. Young people in a Honda car, threatening the agitators, steal flags and campaign stands of a communist candidate. Law enforcement agencies are inactive.

The first attack took place around 18:00 at the Uchitelskaya bus stop near the house at ul. B. Khmelnitsky, 61. Young people in a silver Honda Rafaga car with license plate C378KU 154, threatening the agitator with physical violence, took away a stand with the image of Anatoly Lokt, a candidate for mayor of Novosibirsk.

Law enforcement officials were called to the scene. The police said they would not take any action until they were approached by a candidate’s confidant.

As a result of the inaction of law enforcement officers, the attack was repeated. At 6:30 p.m. at the Kalininsky Department Store stop, the same young people in the same car stole a flag from a picket in support of Anatoly Lokt using a similar scheme.

March 22

Banderization of the political process in Novosibirsk is intensifying. After the shelling of the headquarters of the candidate for mayor from the Communist Party A.E. Elbow, numerous beatings of agitators committed a new crime, allegedly related to one of the headquarters of “United Russia”. On the night of March 22, an even more terrible gangster action took place against representatives of the Communist Party of the Russian Federation.

Tonight, bandits broke into an apartment rented by Communist Party agitators in the Kalininsky district of Novosibirsk. Two agitators were shot with traumatic pistols, one is awaiting surgery at NIITO after falling from the second floor.

To organize the distribution of campaign materials yesterday, March 21, in the Yubilejny microdistrict in the house number 31/1 on the street. Association in the Kalininsky district, an apartment was rented. On the same day, the agitators began to distribute leaflets and campaign materials in the microdistrict. In this area, in addition to campaigning for A.E. Elbow is also campaigning for the candidate of the Communist Party of the Russian Federation in the by-elections to the city parliament Popov.

After finishing work on March 21, three agitators, including Sergei Sukhorukov, assistant to State Duma deputy Anatoly Lokt, first secretary of the Zheleznodorozhny district committee of the Communist Party of the Russian Federation, stayed overnight in the apartment to continue spreading propaganda on Saturday in the morning.

At about one in the morning, those who were in the apartment were awakened by a knock on the door. One of the guys came up to the door and asked: “Who?”. Something unintelligible sounded from behind the door. The agitator opened the door ajar and saw two young men of athletic appearance (one of small height – about 160 cm, the other – 180 cm). Young people began to break into the apartment to “talk”. The “pulling the door” began and the noise, to which the neighbor jumped out on the site. Seeing what was happening, she began to calm the “sports guys”. As one of the agitators noted, the woman knew the young people, called them by their names, but they did not respond to her persuasion.

The fight for the door ended in favor of the “sporty guys”, after one of them took out a traumatic pistol and fired several shots into the gap between the door and the jamb. One of the bullets hit Sergei Sukhorukov in the arm, the other in Dmitry Kamnev’s neck. Further events developed as follows: Dmitry Kamnev, in a state of pain shock, jumped out onto the landing and ran down the stairs. Another shot was fired in his back, the bullet hit his shoulder blade. Once on the street, he ran to a taxi standing near the Yubileiny shopping center and called the police and an ambulance through the taxi driver’s connection. By this time, another agitator managed to escape from the apartment, and Sergei Sukhorukov, blocked near the balcony, was forced to jump from the second floor. Having fallen, he broke his leg and spine, and, of course, he could not run. The “sporty guys”, apparently recognizing in him the chief of staff of the Communist Party candidate Andrei Popov, went down to the first floor, went around the house – the windows of the apartment are on the opposite side – and began to finish off the victim.

While doing this, they were caught by passers-by who stood up for the beaten and unable to get up person, thus they detained the bandits for some time before the police arrived.

Now, according to the KPRFNsk website, the suspects are in the Kalinin police department. They try to qualify their actions as “beating” and let them go. Dmitry Kamnev is in the 25th medical unit, he is receiving medical assistance. The bullet removed from his neck, by a lucky chance, did not hit the artery, so nothing threatens his life now. Sergey Sukhorukov with a broken leg, a severe spinal injury, a shot through his hand and hematomas on his face is at the NIITO, doctors are preparing him for surgery.

The attack was carried out by allegedly working for the United Russia headquarters, or rather, the creature of the local authoritative businessman Sidorenko – Gleb Debov, who is also elected to the city council. According to information obtained from sources close to Debov’s headquarters, yesterday they had a “sociology” according to which the favorite of the electoral race, who had a 100% chance of winning, Debov loses to communist Andrei Popov, who is leading a “low-budget” campaign, by 10% of the vote.