In the case of an elbow fracture, a distinction is made between the exact localization. It can be a fracture in the distal region of the head of humerus, a fracture between the condyles of the head of humerus, a fracture of the radial head or an olecranon fracture. Due to the complexity of the elbow joint, the follow-up treatment and surgical options are usually complicated.
Treatment/Physiotherapy
Further treatment depends on the extent of the injury and the appropriate surgical or conservative treatment. Complete immobilization for several weeks is now avoided so that functional training can be carried out quickly.
- In the first two weeks, the movement depends on the pain and there is usually a limitation of up to 60° in flexion.
In case of a radial head fracture, pro- and supination movement in the elbow is also prohibited for the first 4 weeks. The most important thing in therapy is to achieve the final movement. This is improved in the first weeks by passive and assistive mobilization. It is also important in the early phase to reduce pain and swelling. Lymphatic drainage and ice therapy are suitable for this.
Rehab
Whether rehabilitation is necessary depends on the severity of the injury. In most cases, rehabilitation is not prescribed specifically for the fractured elbow, but for accompanying symptoms after a serious accident. However, if the elbow is severely affected, the person concerned is usually prescribed rehabilitation.
In this rehabilitation, the aim is to achieve an improvement of the symptoms through many different therapies. In most cases, the patient receives targeted physiotherapy, in which the existing movement restrictions are treated by manual therapy, passive movements, PNF techniques and functional movement therapy. Usually the rehabilitation lasts 3-4 weeks, but can be extended depending on the success of the treatment.
- A muscle hard tension can be improved by massage therapy.
- If sensitivity disorders are present, occupational therapy is suitable, which uses certain exercises and aids to activate sensitivity.
- Training in sports therapy through individual therapy with personal coaching can specifically point out the weaknesses of the individual patient. Then these are worked on specifically, mostly through functional training (supporting activity).
- Supportive training on the machines for the entire shoulder-arm complex and back should be performed.
- Other therapeutic measures, such as water gymnastics, group gymnastics, Nordic walking are very important, especially by being together with other affected people. Talking therapy for patients who have experienced a serious accident should be a big part of rehabilitation.
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