Fracture of the elbow joint

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Rehabilitation period

Rehabilitation therapy includes:

  • Therapeutic exercise

  • Massage

  • Physiotherapy

Elbow joint development with physical exercises plays a very important role in process of its restoration. Neglect of exercise therapy can lead to partial or even complete loss of mobility in the joint.

In the first stage, which begins on the second day after the casting is applied, exercises are performed for the joints free from plaster – wrist and shoulder, and also for the fingers, since the muscles responsible for the finger movements go from the elbow the joint. It is also recommended to periodically put your hand behind your head while lying down (for example, putting it behind your head on the pillow), straining at the same time the muscles of the shoulder and forearm. This stimulates lymphatic drainage and helps to remove puffiness. To isotonic contractions of muscles (tension without movement), which are under gypsum, should be started 7-10 days after the fracture. To reduce the pain syndrome, you can combine these exercises with breathing techniques.

In the second stage, exercises are performed on flexion and extension of the elbow joint itself. For this, part of the gypsum limb from the forearm is temporarily removed. The transition to the second stage of rehabilitation is carried out by the decision of the attending physician. If the elbow is broken, you can not bend your arm in the joint, as this can provoke a repeated fracture.

These exercises can be performed as follows:

  • Sit at the table, put your arm on the table, and from this position raise and lower the forearm.

  • Link hands to the lock and bend and unbend both the injured and the healthy arm, lifting them by the head.

You can do exercises sitting or standing, using a gymnastic stick or ball, as well as in the water, in the pool or taking a bath. For these purposes, a bath with sea salt is well suited, since salt perfectly stimulates the restoration of lost functions and relieves pain.

The full development of the joint is transferred after the final removal of gypsum. Begin with slow flexions in sparing mode, the shoulder at the same time lies on the horizontal surface (on the table), and the forearm is located vertically. A set of exercises

  • Link hands together and make movements simulating the casting of the fishing rod, alternately winding linked in the “lock” hands behind the ears of different sides

  • Similar exercise, but the hands are put over the head.

  • Connect hands behind the back

  • Put your hands behind your head, connect your hands to the lock and stretch, pointing your palms upwards.

  • Roll over the toy car

  • Pick up a gymnastic stick and do flexion-extension in elbows, holding a stick in front of you and over your head

  • Bend the elbow joint at right angles and rotate the forearm around its axis.

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  • Roll the balls fingers of an injured hand.

All exercises should be done 3-4 times a day for 10-15 repetitions, starting at 4-6 and gradually increasing the load. Exercise should be done with a healthy arm, because the elbow joint is a pair body, they are interrelated. The elbow joint is the most difficult to develop. Therefore, sometimes to eliminate persistent violations of joint movements requires the use of special equipment.

Physical exercises are recommended to be combined with physiotherapy. For this purpose, magnetotherapy is prescribed, electrophoresis, UHF, mud therapy can also be used.

Massage in the first stage of rehabilitation is contraindicated. At the 2nd and 3rd stage, you can massage the back and muscles of the hands above and below the damaged area (muscles of the forearm and shoulder). Gentle massage helps restore motor functions, reduces pain syndrome, prevents muscle atrophy, strengthens ligaments.

In case of a fracture of the elbow joint, it is strictly forbidden to transfer weights and hang on the crossbeam, overstrain the muscles.

Intra-articular fractures are fraught with the development of persistent contracture (limitation of movement) or arthrosis in the distant future. That is why it is necessary to take seriously to the complex of rehabilitation measures for restoring the affected joint and to comply with all the prescriptions of the attending physician.

Nutrition after a fracture

To help the body recover as soon as possible after an injury, you should pay attention to your diet. To strengthen the ligaments, collagen, as well as vitamins C and E. Collagen is of great importance.

Collagen is found in poultry meat (especially in turkey), fish (especially salmonids), oysters, mussels, shrimp, sea kale and other seafood, in buckwheat, oatmeal, persimmon, peaches. Vitamin C is rich in white and cauliflower, tomatoes, bell pepper, currants, rosehips, mountain ash, citrus fruits, strawberries, herbs (parsley, spinach), green peas. Vitamin E is found in the grains of cereals, carrots, sea buckthorn, soy, garlic, parsley, pumpkin and flax seeds, egg yolk, yeast, peanut butter, nuts.

If you are overweight, dieting is recommended. Excess weight exerts an additional burden on the joints, which leads to a violation of metabolic processes in them.

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