Inclusion Criteria:  Adult 18 years or older with an acute elbow fracture and dislocation less than a week old Open or arthroscopic surgery as the chosen treatment  Exclusion Criteria:  Patient with a history of ipsilateral trauma, neurological disorder or major pathology. Patient unable to answer questionnaires. Patient unavailable for a one-year follow-up, for example from another country. Patient with vascular injury or open fracture Patient with a historic of TBI Patient with chronic medicated pain