How is flexion finger formed?
summary
Elbow stiffness usually refers to elbow extension greater than 30 degrees or elbow flexion less than 130 degrees. In normal days, 90% of the elbow function, flexion and extension activities between 30-130 degrees, forearm pronation, supination 50 degrees. Because of the anatomical height of the elbow joint and the close continuity of the muscle and joint capsule, the elbow joint is prone to appear stiff after the wound, which seriously affects the function of the upper limb. According to the position of rigidity, it can be divided into extension type and flexure type. According to the pathological changes, it can be divided into intraarticular, extraarticular and mixed stiffness. So what causes elbow joint not to bend? Let's share my experience with you.
How is flexion finger formed?
Elbow stiffness is mainly caused by long-term joint immobilization, so all experts focus on early postoperative elbow activity, according to the limited position of activity, choose the opposite viewpoint for fixation. Every day for 2-3 times physical therapy, each time continue 15-20 minutes, cold compress before physical therapy, the maximum degree of straightening and flexure replacement, sleep also need the maximum straightening and flexure replacement fixed.
Pay attention to investigate ulnar nerve function. Ulnar nerve damage is a common complication after elbow joint release. It may be due to intraoperative damage or postoperative soft tissue swelling and compression, nerve tension and other factors. Ulnar nerve function should be closely investigated after operation. If there is dyskinesia, surgical intervention may be needed. Ulnar nerve release is the best choice in patients with limited flexure.
To avoid the formation of heterotopic ossification, if there is no contraindication, postoperative oral indomethacin 100mg / day, some authors recommend radiotherapy. X-ray examination was performed every 2 weeks. Arthroscopy and chain external fixator are used to release the elbow joint by drawing technique, and there is a growing trend in recent years. For severe damage of articular surface, joint replacement can be selected for patients older than 60 years old.
matters needing attention
It is worth noting that stiffness is a common complication after elbow injury, and the exact factors are not fully understood. As for the invalid cases, the elbow function can be improved by operation.
