Dynamic Splint for the Treatment of Stiff Elbow

2010 ◽  
Vol 23 (4) ◽  
pp. e14-e15
Author(s):  
Maria A. Davalos ◽  
Gerardo Gallucci ◽  
Veronica Alfie ◽  
Pablo de Carli ◽  
Maria G. Thomas
Keyword(s):  
Stiff Elbow ◽  
Dynamic Splint

Dynamic Splint for the Treatment of Stiff Elbow

2011 ◽  
Vol 3 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Gerardo L. Gallucci ◽  
Jorge G. Boretto ◽  
María A. Dávalos ◽  
Agustín Donndorff ◽  
Verónica A. Alfie ◽  
...  
Keyword(s):  
Stiff Elbow ◽  
Dynamic Splint

scholarly journals FRI0617-HPR GRADED MOTOR IMAGERY IN POSTTRAUMATIC STIFFNESS OF THE ELBOW: A PILOT STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 913.2-914
Author(s):  
T. Birinci ◽  
E. Kaya Mutlu ◽  
S. Altun
Keyword(s):  
Pilot Study ◽  
Motor Imagery ◽  
Upper Limb ◽  
Exercise Program ◽  
Control Group ◽  
Elbow Fracture ◽  
Stiff Elbow ◽  
Limb Fractures ◽  
Upper Limb Fractures ◽  
Graded Motor Imagery

Background:Elbow fracture is treated either conservatively or surgically followed by a period of immobilization with casting or splinting. A splint used to immobilize upper limbs for many weeks results in changes in both the peripheral musculature and the central nervous system. It is well known that common complaints after upper limb fractures include weakness, pain, and stiffness; therefore, pain management is important in the early stages of the rehabilitation of upper limb fractures.Objectives:This pilot study aimed to investigate the efficacy of graded motor imaginary (GMI) on pain, range of motion (ROM), and function in patients with posttraumatic stiff elbow.Methods:Fourteen patients with posttraumatic stiff elbow (6 women, mean age: 45.42 ± 11.26 years, mean body mass index: 24.29 ± 3.38 kg\m2and mean duration of immobilization: 4.75 ± 1.03 weeks) were randomly allocated to either GMI or control groups. The GMI group received GMI treatment in addition to a structured exercise program, and the control group received a structured exercise program (two days per week for six weeks) (Figure 1). The assessments included pain at rest and during activity using the visual analog scale (VAS), elbow active ROM with a digital goniometer (Baseline Evaluation Instrument, Fabrication Enterprises, Inc., White Plains, NY), and upper extremity functional status using the Disability of the Arm, Shoulder and Hand Questionnaire (DASH). The assessments were performed at baseline and after the 6-week intervention.Figure 1.Graded motor imagery performed with mirror boxResults:After the 6-week intervention, there was a significant increase in elbow flexion-extension ROM and supination-pronation ROM, and improvement in DASH score in both groups (p<0.05). However, improvement in VAS-rest and VAS-activity was significantly higher in the GMI group than the control group (p=0.03 and p=0.01, respectively).Conclusion:A conservative treatment program consisting of GMI treatment in addition to a structured exercise program applied twice a week for 6 weeks, has been found more effective in decreasing pain in the posttraumatic stiff elbow. It could be concluded that GMI is an effective treatment method for elbow fracture in patients with predominant elbow pain.References:[1] Harris JE, Hebert A. Utilization of motor imagery in upper limb rehabilitation: a systematic scoping review. Clin Rehab. 2015:29(11):1092-1107.[2] Opie GM, Evans A, Ridding MC, Semmler JG. Short-term immobilization influences use-dependent cortical plasticity and fine motor performance. Neuroscience. 2016:330:247-256.[3] Birinci T, Razak Ozdincler A, Altun S, Kural C. A structured exercise programme combined with proprioceptive neuromuscular facilitation stretching or static stretching in posttraumatic stiffness of the elbow: a randomized controlled trial. Clin Rehab. 2019:33(2):241-252.Acknowledgments:The present work was supported by the Scientific Research Projects Coordination Unit of Istanbul University-Cerrahpasa (Project No: TDK-2019-33997).Disclosure of Interests:None declared

The Kleinert dynamic splint : where it fails and how it can be modified

1993 ◽  
Vol 12 (3) ◽  
pp. 200-205 ◽  
Author(s):  
W.J. Theuvenet ◽  
J.M.G. Kauer ◽  
G.F. Koeijers ◽  
J.M.H.M. Borghouts
Keyword(s):  
Dynamic Splint

scholarly journals The role of open reduction and internal fixation in the treatment of the intercondylar fractures of humerus

2019 ◽  
Vol 5 (5) ◽  
pp. 855
Author(s):  
Venkata Sivaram G. V. ◽  
Y. V. S. Prabhakar
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Early Mobilization ◽  
Distal Humerus ◽  
Inclusion Criteria ◽  
Senior Faculty ◽  
Chevron Osteotomy ◽  
Stiff Elbow ◽  
Condylar Fractures

<p class="abstract"><strong>Background:</strong> Inter-condylar fractures represent one of the most complicated and challenging fractures in the upper extremity. The results of managing these fractures non-operatively are limited by failure to get anatomical reduction and early mobilization, which often results in painful stiff elbow and/or pseudo-arthrosis. The objective of this study was to evaluate and analyse the role of open reduction and internal fixation in inter-condylar fractures of distal humerus.</p><p class="abstract"><strong>Methods:</strong><strong> </strong>The present study was done in Malla Reddy Institute of Medical Sciences between June 2014 and June 2017. Out of 34 cases of intercondylar fractures of humerus admitted during the period, 25 patients were selected for the study that satisfied our inclusion criteria. Three patients out of those selected could not be included in the study as one had cardiac issues pre-operatively, one refused surgery and one was lost to follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our study included 22 patients, 14 male and 8 female patients. Their average age was 41.4 years. The fractures were classified as per the AO classification. There were B1-3, B2-1, C1-6, C2-5, C3-7 fractures. Both compound and closed fractures were included. All the patients were operated by posterior olecranon Chevron osteotomy approach by a senior faculty member. Twenty two patients who satisfied our inclusion criteria were treated, followed up and the results analyzed using Cassabaum’s scale of elbow function we had 86% of excellent to good results. Our results are comparable with other similar studies.</p><p class="abstract"><strong>Conclusions:</strong> Posterior olecranon approach was found to be of most satisfactory approach by us. It allows good exposure of the joint and the ulnar nerve.</p>

scholarly journals CONSERVATIVE APPROACH FOR RECOVERING FROM PAIN AND STIFF ELBOW FOLLOWING TRICEPS TENDON AVULSION AND REPAIR

2018 ◽  
Vol 6 (5) ◽  
pp. 2886-2890
Author(s):  
Thiruvarangan Suwaminathan ◽  
◽  
Niroshan Jayarathne ◽  
Sukunan Gunasingam ◽  
◽  
...  
Keyword(s):  
Conservative Approach ◽  
Stiff Elbow ◽  
Triceps Tendon ◽  
Tendon Avulsion

scholarly journals STIFF ELBOW TREATMENT BY INTERPOSING ARTHROPLASTY ASSOCIATED TO HINGED EXTERNAL FIXATOR

2009 ◽  
Vol 44 (4) ◽  
pp. 336-341
Author(s):  
Alberto Naoki Miyazaki ◽  
Marcelo Fregoneze ◽  
Pedro Doneux Santos ◽  
Luciana Andrade da Silva ◽  
Nelson Gennaro Junior ◽  
...  
Keyword(s):  
External Fixator ◽  
Stiff Elbow ◽  
Hinged External Fixator

Debridement Arthroplasty for Stiff Elbow

2005 ◽  
Vol 40 (6) ◽  
pp. 723 ◽  
Author(s):  
Chung Soo Han ◽  
Yong Girl Rhee ◽  
Bi O Jeong ◽  
Boo Kyung Kwon
Keyword(s):  
Stiff Elbow
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