Background <p>Elbow dislocations are rare in children but represent the most common type of dislocation in this age group. In contrast to adults, concomitant fractures occur in approximately two-thirds of cases.</p> Objective <p>Presentation of indications for nonsurgical and surgical treatment strategies, taking into account age-relevant factors.</p> Methods <p>A&#xa0;narrative review based on current clinical guidelines and specific injury patterns.</p> Results <p>Elbow dislocation necessitates prompt reduction within a&#xa0;few hours, ideally under procedural sedation or short-acting general anesthesia, to minimize trauma for the child and avoid iatrogenic reduction-related fractures. In cases of radiologically confirmed concomitant fractures, surgical treatment under general anesthesia is indicated. Following reduction, stability must be assessed clinically and radiologically (symmetry of the joint line, drop sign, Stoeren line). In cases of persistent instability, magnetic resonance imaging diagnostics are required to exclude soft tissue interposition or ligamentous/osteocartilagineous lesions. Conservative treatment is sufficient for the majority of cases, typically involving a&#xa0;long arm cast for a&#xa0;maximum of 3&#xa0;weeks. For patients aged 10 and older, early functional rehabilitation using a&#xa0;hinged motion brace serves as a&#xa0;viable alternative. Primary surgical reconstruction of the capsuloligamentous complex offers no distinct advantage over conservative management, except in cases of persistent or high-grade instability. Complications are rare and depend on the severity of the injury and the timing of primary care.</p> Conclusion <p>Pediatric elbow dislocations generally have favorable functional outcome when prompt and professional primary care is administered.</p>