Botulinum Toxin as a Novel Treatment for Prevention of Post-Traumatic Elbow Stiffness

Inclusion Criteria: * Capable of providing informed consent * 18 years old and older * Elbow fractures that require operative intervention including: * Supracondylar distal humerus fractures * Intra-articular distal humerus fractures * Proximal ulna and radius fractures Exclusion Criteria: * Patients less than 18 years old * Injuries that do not normally require surgical repair * Patients with underlying spasticity * Patients with burns about the elbow * Patients with extensive soft tissue injuries of the elbow * Patients with head or spinal cord injuries * Myasthenia gravis, Eaton-Lambert, amyotrophic lateral sclerosis or any other disease that interferes with neuromuscular function * Use of aminoglycoside antibiotics or other drug therapies that interfere with neuromuscular function