KINESITHERAPY AFTER ARTHROSCOPIC TREATMENT OF FRACTURES IN THE AREA OF THE ELBOW JOINT

Abstract

The elbow joint is a complex intermediate motor unit of the upper limb. Pathological changes in theelbow joint affect the overall function of the upper limb, and this makes it difficult to carry out activities of dailyliving, practice sports, perform physical labor. As a consequence of the various trauma lesions with subsequentimmobilization of the elbow joint, there are numerous functional limitations and problems that interfere with thenormal function of the joint, such as limited range of motion, pain, muscle imbalance, edema, etc. The complexanatomical and biomechanical characteristics of the joint determine the difficulty of functional recovery, which is acomplex and prolonged process, and necessitates the search for more sparing methods of treatment, such asarthroscopy. Arthroscopy originated as a diagnostic procedure, but has subsequently been applied as a therapeuticprocedure to treat a wide range of joint pathologies. Michael Burman in 1932 first reported on elbow jointarthroscopy performed on cadaver models. There are many indications from removal of intra-articular loose bodiesto treatment of elbow osteoarthritis and fractures. Elbow fractures are one of the most difficult upper extremityinjuries to treat and kinesitherapy. Restriction of movement can lead to a significant reduction in working capacitywith serious social and occupational consequences. The duration and successful recovery of the joint depends on thetype of fracture. Studies have shown that arthroscopic treatment versus open surgical interventions favor reducedpostoperative time, as well as faster return to premorbid activity. Targeted kinesitherapy is needed to maximizerapid functional recovery of the elbow joint after arthroscopy. Early complex kinesitherapy after arthroscopictreatment of fractures in the elbow joint determines the maximum possible recovery of upper limb function. It isextremely important to ensure the complete success of the operation, to prevent the likelihood of complications aftersurgery. The ultimate goal of treatment is a functioning, pain-free and stable elbow.