Abstract

The treatment of elbow joint fractures is a serious medical and social problem due to frequent complications and impairment of the ability of self-service and performance of various household and labour activities. We needed evidence as to which exercises were appropriate in the treatment of patients with fracture elbow-Monteggia.
 The aim of the presented clinical case is to examine the effectiveness of the applied kinesitherapeutic methodology in Monteggia fracture-dislocation treated surgically by internal fixation.
 Kinesitherapy was carried out in two phases (maximally and moderately protective), and as a result of the applied means of functional recovery, there was achieved a good elbow reintegration in the motor circuit of upper limb.
 There was observed a small deficit in terms of flexion and extension in the right elbow joint, which should be ascribed to the lack of artromot, as well as to insufficient patient motivation. Global functions reported by MEPS were 84/100.

Highlights

  • Fractures in the elbow joint are frequent - they represent 7% of all fractures with 1/3 of them affecting the distal humerus, 33% - the head and the neck of the radius and 20% - the olecranon

  • We have presented the case of a 35 year old female patient with a fracture of the ulna with dislocation of the radial head in the right elbow joint as a result of direct trauma from a fall on the ulnar side of the right forearm. (Bado classification - II type)

  • The patient reported the existence of pain in the course of flexion, extension in the right elbow joint, and pain evaluated with 5 on SAC in carrying out pronation and supination in the radio-ulnar joints of the right upper limb

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Summary

Introduction

Fractures in the elbow joint are frequent - they represent 7% of all fractures with 1/3 of them affecting the distal humerus, 33% - the head and the neck of the radius and 20% - the olecranon. The treatment of elbow joint fractures is a serious medical and social problem due to frequent complications and impairment of the ability of self-service and performance of various household and labour activities. Http://www.granthaalayah.com ©International Journal of Research - GRANTHAALAYAH [20-26]. These contractions are the result of trauma affecting bone and soft tissues lying around and the subsequent immobilization of the joint, and of surgery and the difficulty to recover the congruence of articular surfaces (Asly, 2005). Compensatory mechanisms of the deficit in the mobility of the elbow complex are limited and do not help to improve the functionality of the affected limb (Bankov, 1971)

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