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It usually takes 12–15 months after the surgery for standard rehabilitation because a tendon needs time to convert into a ligament. [23] Rehabilitation following UCL injuries or surgery should follow a sequential and progressive multi-phased approach that involves a gradual and protected return of range-of-motion.
Associated structures that were damaged during the injury may also need to be repaired. Rehabilitation exercises are recommended and tailored to fracture and treatment type. It is recommended to wait 6 weeks before resuming load bearing with a stable type 1 fracture and 10-12 weeks following surgery for unstable type 2-4 fractures. [7]
Osteosynthesis (open reduction and internal fixation) of the ulnar shaft is considered the standard of care in adults. It promotes stability of the radial head dislocation and allows very early mobilisation to prevent stiffness. [5] The elbow joint is particularly susceptible to loss of motion. [citation needed]
Extension type of injury (70% of all elbow fractures) is more common than the flexion type of injury (1% to 11% of all elbow injuries). [4] Injury often occurs on the non-dominant part of the limb. Flexion type of injury is more commonly found in older children. Open fractures can occur for up to 30% of the cases. [3]
Repair is largely viable in cases of acute UCL avulsion type-injury at the proximal or distal end, with the main benefit of the procedure is reduced rehabilitation time compared to that of UCL reconstruction. [12] Early attempts at UCL repair yielded poor results and were largely abandoned until anchor fixation was improved in 2008. [12]
Elbow fractures are any broken bone in or near the elbow joint and include olecranon fractures, supracondylar humerus fractures and radial head fractures. [1] The elbow joint is formed by three different bones: the ulna, radius, and humerus that permit the joint to move like a hinge and allow a person to straighten and bend their arm and these bones are connected by tendons, ligaments, and ...
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In high median nerve palsy patients, recovery time varies from as early as four months to 2.5 years. Initially, patients are immobilized in a neutral position of the forearm and elbow flexed at 90° in order to prevent further injury. Additionally, gentle exercises and soft tissue massage are applied.
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