How should I do rehabilitation exercises after my mother s ulna olecranon fracture? Hurry, hurry, hu

The exercises in the later stage of olecranon fracture of the ulna are mainly the flexion of the elbow joint and the rotation of the forearm, step by step. Gradually increase the training intensity within the range of bone tolerance during each exercise, and when you feel the traction pain around the joints during exercise, because the fracture and long-term joint immobilization, the soft tissues around the joints have been adherent, and the exercise is to stretch the adhesions.

The result of any method should be to achieve a strong and stable elbow extension. Good flexion and extension range, and good alignment of the articular surface. The commonly used methods are as follows.

1.Functional immobilization For various types of fractures without displacement, a cast is placed in the elbow extension or semi-extended elbow position for 3 weeks, and elbow movement is practiced after immobilization.

2.Open reduction and internal fixation For transverse or oblique fractures with displacement, open reduction should be used as much as possible. There are several methods of internal fixation, depending on the type of fracture.

Cancellary bone screws or bicortical bone screws are commonly used. Because the reduction is satisfactory and the fixation is firm, elbow joint movement can be practiced 1 to 2 weeks after surgery. The hook-shaped steel plate or tension belt steel wire "8" suture fixation is suitable for comminuted fractures, which can eliminate the early activity of external fixation.

3.Fracture fragment resection and triceps tenoplasty The fracture is severely comminuted, and the distal end of the coronal process and semilunar notch is intact, and the fracture fragment can be removed, but a layer of bone cortex should be retained at the insertion point of the triceps tendon to facilitate the suturing of the distal section. If a layer of bony cortex cannot be preserved, the triceps tendon can be reversed down into the distal drilled hole.

For patients with open reduction or fracture resection, they are generally fixed in the elbow extension position, and the time should be short, about 3 to 4 weeks to remove the external fixation, and actively practice elbow flexion and extension activities.

The main ancillary tests for this disease are x-rays: One of the most common mistakes in the evaluation of olecranon fractures of the ulna is the failure to obtain a true lateral x-ray of the elbow

Wire pieces. A mildly inclined lateral x-ray is often obtained in the emergency department, which does not adequately determine the exact length of the fracture line, the extent of the fracture commincing, the extent of the tear in the articular surface at the semilunar notch, and any displacement of the radial head. A true lateral elbow x should be obtained whenever possible

Wire film to accurately grasp the characteristics of the fracture. Anteroposterior x

Plain radiographs are also important to show the direction of the fracture line in the sagittal plane. If the radial head is also fractured, it is in the lateral position x

There may be significant disruption along the fracture line on the radiograph, and there is no angulation or displacement.

Hello, after the fracture, the joint movement is limited, the main reason is the ligament injury, the ligament has not been repaired**, the joint activity will have been limited, as long as the ligament is repaired, you can resume normal activities, I don't know why many patients and doctors do not understand the fact that the bones will hurt the tendons, the joint bend can not have its certain **, can not only treat the surface, not exercise can be recovered, this will only delay the patient's time, the fracture of the joint is limited patients, It should not be difficult for you to find on the Internet that more than 90% of patients have such symptoms, some of the damage is mild, some of the 100 cases may be able to repair themselves slowly, and the patients with serious injuries can no matter how hard they exercise, it will not help, and the joints have not returned to normal for several years.

Therefore, it is recommended that patients with fractures, especially patients with fractures at the joints, after the bones, if the joints are limited, this can confirm that the ligaments are ruptured and strained, as long as the ligaments can be repaired as soon as possible, as long as you find a Chinese medicine that understands the treatment, with the right medicine, you can recover quickly, if you can use wild herbs to repair externally, the early ** can basically resume normal bending activities in about 40 days.

Before the ligament, avoid eating roosters, beef, carp, sour bamboo shoots, ginger, etc., which is gained from experience. Usually rest more, it is not recommended to force the joint to bend so as not to aggravate the injury.

After the fracture, if the use of traditional Chinese medicine symptomatic medication**, the early medication for about 7 days can be basically reduced, the swelling can also gradually subside, 15-20 days can feel the gradual strength of the affected limb, the whole process of medication about 30-40 can basically return to normal activities, 40 days after the film can also see the callus growth is good, based on X-ray films, if the medication for about 50 days can not be basic**, then it is necessary to consider whether there is a problem with the doctor's level.

If Western medicine methods are used after fractures, it is generally plaster external fixation or surgical steel plate, steel nail internal fixation, stent external fixation, etc., regardless of severe comminuted fracture or ordinary fracture, the patient will be persuaded to operate, the one that can be operated on is called **, and the one that cannot be operated on is called conservative, the so-called conservative is actually to let the patient recuperate at home for a long time, during which there may be some anti-inflammatory, analgesic, blood circulation and stasis drugs, etc., which is very slow.

It can be cured in 3 months and 6 months, but there are some who have not been completely cured for more than half a year or even a year. How long it takes to heal varies from person to person.

No matter what kind of tissue damage, the principle is the same, only let the damaged tissue grow quickly can be healed, the focus is not fixation, rest and diet, but let it grow quickly. Only by allowing the broken bones to grow and heal in a short period of time is the key point of the **. How long it takes for a fracture to return to normal activity depends on the best method you choose.

Avoid eating carp, rooster, sour bamboo shoots, ginger, high-calcium and high-protein foods before fracture, this is experience, Western medicine should be used with caution, especially hormone-containing drugs should not be used, and it should not be moved too early, so as not to aggravate the injury.

**The results should be to achieve a strong and stable elbow extension, a good flexion and extension range, and a well-aligned articular surface. The commonly used methods are as follows.

1.Functional position braking.

For various types of fractures that are not displaced, the elbow is immobilized in a cast or semi-extended elbow position for 3 weeks, and the elbow joint movement is practiced after immobilization.

2.Open reduction and internal fixation.

Transverse or oblique fractures with displacement should be reduced by incision if possible.

3.Fracture fragment resection and triceps tenoplasty.

The fracture is severely comminuted, the coronoid process and the distal end of the semilunar notch are intact, and the fracture fragment can be removed, but a layer of bone cortex should be retained at the triceps tendon insertion point to facilitate the suturing of the distal section. If a layer of bony cortex cannot be preserved, the triceps tendon can be reversed downward into the distal drilled hole. After surgery, it is generally fixed in the elbow extension position, and the time should be short, and the external fixation should be removed in 3 to 4 weeks, and the elbow flexion and extension activities should be actively practiced.

Analysis: Hello, the situation described may be a fracture of the olecranon of the ulna after a fall, and surgery is generally required after the fracture here**.

Suggestions: Functional exercises can be considered for about 6 weeks after the fracture, and now 2 months after the fracture, if the callus at the fracture site is normal, the functional exercises of the elbow joint should be carried out, and if the functional exercises are adhered to according to the doctor's instructions, the function of the elbow joint can be restored.

Analysis:

Hello, your fracture in this part mainly has a significant impact on the extension and flexion of the elbow joint, on the one hand, due to long-term fixation, stopping, which will cause the elbow joint to be stiff, on the other hand, because the fracture has a certain impact on the local ligaments. Therefore, at present, you do functional recovery training after healing, mainly to train the stiff joints to develop the original extension and flexion range of motion, and this training is to overcome resistance and pain for local ligaments.

Suggestions: Therefore, your above situation is a common phenomenon of fracture healing near the joint, and it is recommended that you carry out functional training in a step-by-step manner under the premise of clear healing, and generally recover effectively through one or two months of training. Good luck soon**!

Disease analysis: after the fracture of the affected limb external fixation for more than a month, muscle stiffness, spasm, muscle atrophy will gradually appear, because of the manuscript to congratulate this, may cause the finger to not straighten, opinions and suggestions: at present, it is necessary to cooperate with local doctors to carry out functional exercises, mainly to do elbow joint, finger extension and flexion exercises, external rotation of the upper limbs, internal rotation of the upper limbs, it is recommended to continue to exercise the key for about 20 minutes every day, functional exercise should be gradual, and it is not appropriate to bear the chain weight for the time being.

Due to the different types of fractures, the methods are also different. However, regardless of the method**, the result should be strong and stable elbow extension, with good elbow extension and flexion. The articular surface of the fracture should fit well. Achieve strong internal fixation, which can be moved early.

For all types of fractures with functional fixation and non-displacement, flexion of the elbow to the functional position will not lead to separation of the fracture end because the extension of the elbow is intact. Young adults and children are fixed with a long-arm plaster cast in the elbow flexion position for 3 to 4 weeks, and the elderly can appropriately shorten the immobilization time.

Closed reduction and external fixation of displaced fractures is not difficult, but the position after reduction is difficult to maintainAlthough the elbow extension position can reduce re-displacement, the long-term elbow extension fixation, especially in older patients, will affect the recovery of elbow flexion function. Specifically, whether the elbow is fixed in the elbow extension position or the elbow flexion position, judging from the perspective of Xiangzhen, most of them are more stable in the elbow extension position, but there are also a few cases where the elbow flexion position is more stable than the elbow extension position. The indications for closed reduction and external fixation are narrow, and only elderly patients and those with poor local or systemic conditions are not suitable for surgery.

Generally, it is fixed with a plaster pad for long-arm banquet pants for 4 weeks.

Open reduction and internal fixation have displaced fractures, and open reduction should be used as much as possible. It is best to do it within 2 weeks after the injury, so that the joint face can be well integrated and conducive to functional recovery. The choice of internal fixation method depends on the type of fracture, and internal fixation with screws, plates, or tension bands is commonly used (Fig. 1).

And it is most used to fix it with a tension band. Strong internal fixation can be done without external fixation, which is conducive to early functional exercise and recovery of elbow joint function.

Fracture fragmentationSome scholars believe that as long as the coronal process and the distal half of the meniscus notch are intact, the removal of the fracture fragment will not affect the stability of the elbow joint. It is also believed that olecranon excision surgery is simple, easy to operate, no fracture non-union or delayed union, and is not easy to develop secondary traumatic arthritis.

A small amount of bone at the triceps insertion should be preserved when the fracture fragment is removed to facilitate suturing with the distal section. For avulsion fractures at triceps insertion that do not affect the articular surface, the fracture fragment should not be removed and can be sutured back into place. With improvements in internal fixation equipment, resection is only considered in older people with comminuted fractures with severe traumatic arthritis or nonunion fractures.