RedactedNarrative: V1 was pulling a tube with 2 occupants on the tube.  The tube was coming around the corner and hit a wave. Victim had her arm wrapped in the handle of the tube instead of just holding the handle. When the tube hit the wave, tuber # 2 fell on top of the victim causing her not to be able to remove her arm from the handle. The tube then flipped, and the victims arm jerked which caused  the fractured elbow. All individuals on the tube were wearing life jackets.  No alcohol was involved.