Dislocation of the elbow joint: symptoms, treatment and recovery

Content

  • 1Symptoms of dislocation of the elbow joint. Treatment and recovery after dislocation
    • 1.1The essence of the injury
    • 1.2Risk factors for the formation of an elbow dislocation
    • 1.3Types of dislocations of the elbow joint
    • 1.4How to recognize the problem?
    • 1.5Treatment
    • 1.6First aid
    • 1.7Treatment and medication
    • 1.8Rehabilitation
    • 1.9Exercise therapy
    • 1.10Massage and physiotherapy
    • 1.11Medication
    • 1.12Folk recipes
    • 1.13Subluxation of elbow joint in children
    • 1.14Effects
  • 2Dislocation of the elbow joint - symptoms and treatment
    • 2.1Symptoms of dislocation of the elbow
    • 2.2Treatment of dislocation of the elbow joint
    • 2.3Rehabilitation of the elbow after dislocation
    • 2.4Exercise therapy
    • 2.5Massage and physiotherapy
    • 2.6Compresses and ointments
    • 2.7Exercises with an elbow dislocation
  • 3Dislocation of the elbow joint: symptoms and treatment
    • 3.1Typical causes of displacement
    • 3.2Main symptoms
    • 3.3Urgent care
    • 3.4Possible complications in the displacement
    • 3.5Diagnosis of injury
    • 3.6Methods of treatment
    • 3.7Medication Therapy
    • 3.8Recovery procedures
  • 4Dislocation of the elbow joint: treatment and recovery in the child
    • 4.1What symptoms accompany elbow elbow in children
    • 4.2Direction of dislocation
    • 4.3Restoration of elbow after dislocation
    • 4.4Physiotherapeutic measures, massage, ointments and compresses
    • 4.5Gymnastics with dislocation of the elbow joint

Symptoms of dislocation of the elbow joint. Treatment and recovery after dislocation

Dislocation of the elbow joint - a trauma to the forearm, the causes of which are varied. How does the posterior dislocation differ from the anterior one? What symptoms will indicate the problem, differentiate it from a fracture of the arm bone?

It is important to learn,what treatment is used for the child, and what - for adults, is it acceptable to adjust at home.When will the recovery take place and the amplitude of the movements will be the same?

The essence of the injury

Dislocation of the elbow - some displacement of one of the three bones in the joint, causing not only discomfort in the affected area, but also significantly affecting the possibility of free movement of the hand.

Interesting!A similar problem, which is correctly called "dislocation of the forearm occurs two times less often than a fracture of the radius and in, less frequently, a dislocation of the shoulder.

Risk factors for the formation of an elbow dislocation

It is risky to get a dislocation of the elbow joint in the first place mobile children and adults whose muscular corset is not sufficiently developed, that is, with the slightest injury it can not protect the joint from damage. Also those,who have previously been exposed to dislocations or other problems of this area, even with minor damage, may again suffer.

Injuries can be different:

  • fall on the straightened arm;
  • bruise, elbow injury;
  • excessive physical exertion.

If you delve deeper into the anatomy, then the root cause of such a pathology lies in the structure of this articulation - some alignment of the half-moon slit of the ulna, an imperfect ligamentous apparatus.

Types of dislocations of the elbow joint

First of all, they distinguish full-fledged dislocation and subluxation. That is, there may be a complete displacement of one or more bones from the joint bag, possibly with ruptures of surrounding tissues, or there may be a slight, partial violation of the joint surface.

Specialists note a kind of trauma, more common in children under three years old, it is popularly called "nurse's elbow and doctors call the pronation subluxation of the radius of the elbow joint.The essence of it is that parents often, trying to protect the baby from falling or other problem, forcefully and sharply pull his hand, thereby damaging the integrity of the joint.

Classify the dislocation of the affected area:

  1. Rear.Problems begin after hitting the elbow, the forearm is noticeably shorter than the healthy one.
  2. Front.The disorder occurs due to traumatization of the bent elbow joint, while the forearm visually elongates.
  3. The medial.Trauma occurs on the lateral inner region of the elbow joint. The joint becomes wider.
  4. Lateral.Occurs because of the impact of the lateral outer region of the elbow.

Most often there are hind and forelegs of dislocations, the medial one is the rarest species. Some traumatologists supplement the classification, highlighting anteroposterior, or anterolateral types of trauma, and also use the definition of "mixed" for dislocations.

Reference!Radiologists distinguish another type of dislocation, diverging, which indicates the removal of bones in the sides, for example, the radius of the bone tends backward or on the inner side of the joint, and the elbow moves forward or out. Occurs in 13% of cases, is due to serious injuries.

How to recognize the problem?

The main sign that there was a dislocation of the elbow is a strong sharp pain and the formation of a hematoma. A person can not actively act with a forearm, even passive movements are difficult.

Also will allocate such signs:

  • extensive swelling of the joint;
  • visual deformation of the boundaries of the joint;
  • sensation of an incorrect location of one of the bones during palpation.

There are possible dislocations of the elbow with complications, when the capillary mesh is damaged or the nerve endings are clamped, thento the main features will also be added:

  • unpleasant tingling or tingling all over the limb;
  • numbness of the arm from the elbow to the wrist or from the elbow joint upwards;
  • loss of sensitivity of fingertips, sometimes the entire brush;
  • lack of pulse on the wrist of the problem hand.

General hyperthermia is possible, especially for young children.

Treatment

No traumatologist will choose any methods of treating a patient without thorough diagnosis. It is necessary to differentiate the problem from others, for example, a closed fracture or an elbow bursitis.

First, a survey is conducted to identify the moments that may have led to injury,then perform a thorough examination and palpation, to help come special designed tests, thanks to them you can determine whether there is sensitivity in the damaged limb.

For a detailed explanation of the extent of the pathology, use:

  • X-ray;
  • Ultrasound of blood vessels;
  • general tests of blood, urine;
  • biopsy of intraarticular substance.

Additionallyconduct sampling of tests to identify concomitant chronic pathologies,which will determine the method of treatment.

First aid

With obvious symptoms of joint damage, first aid should be given to the injured.Reasonable actions will help to eliminate complications and reduce the sufferings of the victim.

To act, rendering first aid, it is necessary so:

  1. Apply a cold compress or a hot water bottle with ice, this will reduce the symptoms. Between the problem area and the cooling object must be a dense tissue to prevent frostbite.
  2. Immobilize the limb. It is necessary, using improvised means to fix the elbow in a half-bent state and attach the injured arm to the trunk.
  3. Call an ambulance or deliver the victim yourself to the hospital.

It is necessary to collect personal items for the injured person, a policy and a passport, in case you need inpatient treatment.

Important!Painkillers or any other medication to give to the injured is not recommended, it is better if the doctor will take the appointments.

Treatment and medication

A traumatologist, after collecting an anamnesis, will most likely resort to the adjustment of the joint.

Before this patient is shown taking painkillers, joint blocking with anesthetics is possible, and also muscle relaxants should be injected intramuscularly, aimed at relaxing the muscle fibers. Only the professional should correct the affected joint.

Depending on the degree and type of lesion, the physician will choose a specific method of correction.

Further, to facilitate the patient's condition, qualitative immobilization is necessary for 2 weeks. If the elbow is dislocated in a child whose symptoms are much brighter, the correct elimination of any movements in the joint will lead to a rapid recovery.

As a joint fixing material use a tight bandage, gypsum or hard orthosis, suitable The position of the injured limb depends on the type of elbow dislocation, it can be folded under sharp or right angle.

Reference!Sometimes such manipulations are not enough, for example, with the dislocation of the head of the radius, then they resort to an operative procedure, during which the head is fixed with a spoke through both bones. In this case, immediately after the operation, the limb is immobilized for 2-3 weeks.

During the period of treatment, the patient needs medication:

  • anesthetics;
  • anti-inflammatory;
  • muscle relaxants;
  • angioprotectors;
  • vitamin complexes.

The expediency of therapy of certain drug groups and the course of treatment is chosen by a traumatologist depending on the age of the patient, the complexity of the trauma.

Rehabilitation

Rehabilitation, that is, the restoration of the old functions of the injured limb takes a long time.

It is necessary to use several methods at oncefor the development of joints, prevention of atrophy of tendons and muscles, as well as the early adhesion of ligament and muscle fibers in their damage.

Exercise therapy

At the question of how to develop a joint, traumatologists advise first of all to turn to physical education.

Therapeutic exercises directly for the damaged joint are usually performed after removal of gypsum or orthosis. But charging for the shoulder joint and wrists is carried out immediately, this is necessary so that the blood circulation in the problem zone does not slow down.

All actions are aimed at a gradual increase in the amplitude of limb movements.

The patient lying down should slowly bend and unbend his arm at the elbow first, without tearing off the limb from the bed.

Then in a few days the exercises can be done standing or sitting, while changing the position of the arm, adding rotation in the elbow.

When there are unpleasant sensations, charging for the joint should be stopped.

Important!If the patient is tormented by the question of why the joint is not being developed for a long time, it is necessary to consult the attending physician. Perhaps a set of exercises is not effective enough in this case.

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Massage and physiotherapy

Massage sessions, backed by physiotherapy, also actively combat the painful sensations in the elbow, activate the regenerating abilities of the tissues.

In order to avoid complicationstherapeutic massage of the shoulder is carried out only by a professional, or the patient independently under the clear guidance of specialists.

Physioprocedures use these:

  • magnetotherapy;
  • ultrasound;
  • electrophoresis.

Applied also with herbal medicines.

Medication

As a therapy, medicines use primarily drugs for external use.

Ointments and gels for rapid restoration of the limb are used such:

  1. Nonsteroid drugs (Diclofenac, Ketoprofen). Reduce possible inflammation and swelling, relieve pain.
  2. Heating Ointments (Finalgon, Viprosal). Provoking an irritating effect on the area of ​​damage, normalizes metabolism, thereby contributing to recovery.
  3. Ointments and gels based on medicinal plants ("Okopnik Badyaga).These substances have regenerating components.
  4. Vasodilators (Heparin Ointment).Vascular expansion normalizes blood circulation, restoring metabolic processes.

They also use combined tools that have several actions at once.

The method of application is approximately the same:apply a small amount of ointment or gel to the affected area of ​​the hand twice or thrice a day with a massage. The course of treatment is chosen by the doctor.

In addition to ointments, compresses with Dimexide, a substance that is a conductor of medicinal substances, are used. Soaked in the gauze should be applied to the damaged joint, fix it with cellophane, warm it and leave it for 2, 3 hours.

Then treat the affected area with a gel or ointment.

Folk recipes

Traditional medicine can be used for a dislocation, but only after consulting a traumatologist.Especially attentively to the composition of such drugs should be treated if the child is traumatized.

Popular recipes are:

  1. Decoction of shredded leaves wormwood bitter. Follow 1 spoon the ground leaves, pour boiling water, after a quarter of an hour the drink is ready. Drink, 5 glasses after eating. Reduces pain.
  2. , kg of leaves of cuff ordinary pour a liter of boiling water and leave in a dark place for 12 hours. From the resulting composition to do compresses at night. Will reduce pain.
  3. Take in equal parts the leaves of marigold, tansy flowers, turns and cornflower, insist on collecting a liter of boiling water within a day. Do compresses three times a day.

Recipes from the people can not become an alternative to pharmacy products.

Subluxation of elbow joint in children

Subluxation of the elbow is dangerous because it is not always possible to accurately suspect an injury. The problem concerns children more often than 3-5 years, at this age the bone tissue is not developed enough, the ligamentous apparatus is inadequate.

In the child's organism metabolic processes occur faster, in the case of subluxation, bone and cartilaginous the tissue quickly adapt to the inconvenience and is deformed, the function of the elbow joint will be partially is lost. That is whyyou must carefully monitor the health of the baby.

Seek qualified help should be at such signs:

  • the child complains of pain in the joint when flexing or rotating;
  • The limb is in the forced half-bent position;
  • slight redness and swelling.

After correction and additional reasonable treatment, the child will forget about the problem after 4-5 days.

Effects

A common consequence of an untreated injury is that the arm does not unbend fully, which significantly affects the functionality of the limb. Further ossification occurs when the joint due to the development of osteoid tissue acquires a completely different form.

Besides,it is possible to develop such a pathology of the musculoskeletal system as instability of the elbow joint. In this case, with the slightest inaccurate movement, the person will again and again suffer from dislocations.

Dislocation of the elbow joint is a serious problem for children and adults, having unpleasant consequences. In order to avoid them, you should immediately seek help from a traumatologist.

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Dislocation of the elbow joint - symptoms and treatment

Causes, photos and treatment of elbow joint dislocation
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Dislocation of the elbow joint (or forearm) - elbow injury, requiring urgent treatment, fixation and recovery.

The injured joint is inserted, immobilized (plaster bandage) for a period of 7 to 14 days, after which physiotherapy and exercise therapy are prescribed to restore mobility.

Such a trauma requires mandatory rehabilitation. The timing of its start determines how fully the mobility of the elbow joint will be restored.

Symptoms of dislocation of the elbow

  • pain;
  • pronounced and noticeable during visual examination joint deformation (bulging bones);
  • restriction of mobility of the elbow (impossibility or incomplete bending and extension);
  • edema (develops within half an hour after trauma, spreads up to the shoulder and down to the hand);

Complex dislocations, accompanied by rupture of nerve fibers or blood vessels, have additional symptoms:

  1. paralyzed fingers and brushes;
  2. numbness, tingling, cold snap in some parts of the hand and forearm below the injured joint, lack of pulse on the artery of the wrist joint.

When injuring an elbow (drop, kick, bruise, sloppy game) and the presence of any symptom from the list, consultation and medical assistance of a trauma doctor is necessary. For temporary anesthesia, you can apply ice or a cold compress to the site of the injury.

Treatment of dislocation of the elbow joint

Dislocation of the elbow joint is subject to correction and immobilization (for healing of cartilage binders).

Through the joint of the forearm (elbow) there is a blood supply to the hand, fingers and forearm. When dislocation, the blood flow is compressed, it is possible to pinch the nerve fibers.

Therefore, it is necessary to quickly deliver the patient to a trauma center.

What will the doctor do? After a visual inspection, the traumatologist will prescribe an X-ray of the joint in order to determine the extent of his lesion, the amount of bone shear, the presence of damage to muscles and other soft tissues, nerve endings. From these, the method of correction and the duration of immobilization (immobilization) of the joint will depend.

After the chest X-ray, the injured forearm is placed in the patient. As a rule, manipulations are performed under general anesthesia. How does the dislocation change?

To install the head of the bone in place, the joint is stretched and the head is guided into the correct location inside the joint bag. To stretch the joint, the elbow is bent as far as possible, further manipulations are performed by the doctor's hands.

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In difficult cases, when ligaments, arteries, nerves are damaged, a surgical operation is needed to restore the ligament apparatus, blood and nerve connections between the limb and the body.

Dislocation of the joint is accompanied by rupture or tearing of cartilaginous tissue. For healing cartilage, the elbow is immobilized with a plaster bandage. The stronger the dislocation and the more difficult the injury, the longer the period of immobilization is necessary for the intergrowth of the tissues.

After immobilization, a difficult period of joint development occurs.

Rehabilitation of the elbow after dislocation

To restore the full functionality of the elbow, the following methods are used:

  1. Therapeutic physical training and swimming.
  2. Massage.
  3. Physiotherapy.
  4. Baths, compresses, ointments.
  5. Support for vitamins and minerals.

Exercise therapy

Physiotherapy exercises - represents complex physical exercises aimed at increasing the amplitude of arm movements in the elbow.

Various twists and bend-extension of the arm at the elbow joint, rotation of the forearms relative to the shoulders.

Exercises with a gymnastic stick, lifting a stick, turning with it, spinning a stick in an injured hand.

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Exercises are performed to the level of unbending or turning that the elbow is able to perform. Over time, with daily exercises, the amplitude will increase until complete recovery.

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The most spectacular is considered to be the rolling of a rolling pin and the stuffing of a small ball. The rolling pin is rolled on the table, for this purpose the hand is put flat on the table and the rolling pin is put under it (a children's typewriter with wheels). When moving forward, the elbow is unbent, then bends when moving backwards.

Filling the ball on the floor is repeated many times (up to 500 per approach) several times a day.

Frequency of repetition of exercises is 3 or 4 times, the time of each session is 15-20 minutes. This is the minimum time required to achieve the effect. You can increase the frequency of classes, the number of repetitions of each exercise, the time of their conduct.

Swimming is prescribed three to four weeks after the removal of the plaster bandage. Swimming movements develop joints, exercises in the pool restore movements faster than traditional exercise therapy. Cool pool water stimulates the work of all the muscles of the hand.

Massage and physiotherapy

Massage increases the flow of blood to the affected joint. With the current of blood, tissues receive substances necessary for recovery. Also, the blood carries the ballast products of the vital activity of the cells. Massage helps reduce inflammation (if any) and repair the joint.

Physiotherapy (electrophoresis) reduces pain and swelling. Heat physiotherapy reduces joint stiffness in the morning, improves movement of blood and lymph. Physiotherapy increases the effect of complex recovery.

Compresses and ointments

The use of external ointments and compresses makes it possible to provide the joint tissues with substances through the skin. For example, calcium (a building material for cartilage), collagen (the basis of cartilaginous tissue), casein (stimulates the regeneration of tissues), antiseptics (to relieve inflammation and reduce puffiness).

Traditional medicine uses compresses with hot milk to regenerate joint tissues (contains casein and calcium), alcohol propolis (natural antiseptic), onions (removes puffiness) and wormwood (vegetable antiseptic).

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Official medicine offers a number of drugs intended for external use and stimulating the regeneration of articular tissues. For example, collagen ultra.

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During the period of adulthood, recovery and rehabilitation, the body needs vitamins and minerals.

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Elbow dislocation is a trauma that can be successfully treated.

Exercises with an elbow dislocation

  • Flexion is the extension of the elbow.
  • Rotation forearms in a circle in the position of the hand to the sides.
  • Rotation: raise the arms to the sides, bend the elbow by 90º, lower the forearm down and lift it up and try to lower it back, then lift it up again, keeping the angle of the fold.
  • Exercises with a gymnastic stick - are carried out from a standing position on the legs, hands hold a stick around the edges. Raise the stick up above your head, drop it on the shoulders behind your neck. Raise again over your head and lower it down in front of you.
  • Exercise with stick in sitting position. Operate the stick on the floor and grasp its upper end with both hands (healthy and injured). Bend over in the back and pull out a healthy arm forward, tilting the upper edge of the stick. The injured hand holds the stick and unbends, stretches.
  • Exercises with two gymnastic sticks: sitting on a chair, rest the ends of sticks in the floor from the sides. With your hands on the upper ends, perform circular movements, (like swimming). Hands stretch forward, to the sides and then to the shoulders.
  • The initial position is similar to the previous position. Hands move forward and backward, then to the side and to the body (leaning on the upper edge of the stick and moving it).
  1. Take the gymnastic stick in the middle and rotate it, making turns in the brush.

    In this case, the elbow fold is involved in rotation.

  2. Exercises near the Swedish wall (you can near the chair): grasp the crossbar at the chest level (or behind the back of the chair). Sit down, straightening the arms.
  3. From a similar situation: lean on the crossbar at the chest level, bend the elbows, bring the body close to the wall. Unfold.
  4. Turn your back on the Swedish wall and take hold of the crossbar at the level of the hips.

    Make a step forward with one foot, stretching out his arms and forcing them to straighten out.

  5. Throwing a small tennis ball (for big tennis) in the floor. After the rebound, you must try to catch it.
  6. Rolling a children's typewriter or rolling-pin forward-back. Performed sitting at the table.

    The hand is placed on the table in front of you flat. Under the palm is placed a rolling pin or a children's typewriter with wheels. The hand moves forward-back, making the extension and flexion of the elbow.

  7. A similar exercise with a rolling pin, but in a different plane: a rolling pin or a thin wooden log is placed on your knees (sitting on a chair) and rolled from the hip to the knee by the forearm. In this case, the position of the brush is changed: the palm is turned up, then down.

Frequency of repetition of exercises - 3 or 4 times a day.

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Dislocation of the elbow joint: symptoms and treatment

The elbow joint refers to the movable connection of the shoulder bone to the radial and ulnar bones of the forearm in medicine.

The displacement of the joints of the movable articulation is due to dislocation of the elbow joint. According to statistics, the displacement of the elbow joint is the most frequent traumatic bruise.

This is due to the complicated structural designs and the variety of the possibilities of hand movement.

Radial, brachial and ulna bones, adhering to a single structure, form the joint of the elbow.

The spherical shape of the shoulder-beam clutch allows you to make frontal and vertical directions of motion.

The shoulder-ulnar lobular ligament provides flexion of the elbow, and the rotation and unfolding of the elbow-ulnar ligament occurs due to the shoulder-elbow cylindrical joint.

When dislocated radial and ulnar parts of the joint of the bones are shifted relative to the brachial. Since they are interconnected by the interosseous ligament, both sites are damaged, so in medical practice such a trauma is called the displacement of the forearm joint.

Dislocation of the elbow is divided into two main subspecies of the injury:

  • subluxation, or partial dislocation: cohesion remains between the bones;
  • full dislocation: all joints are divided among themselves.

Typical causes of displacement

Dislocation of the joint can be after an indirect impact: the site of physical impact is located far from the injured (falling on the palm of the outstretched arm dislocates the joint of the elbow).

Direct dislocation of the joint is formed from a bruise directly into the articulation, this displacement occurs much less frequently than the indirect one.

The common dislocation of the elbow joint in children is the displacement of bones from a jerk, which happens mainly because of the sharp extension of the arm. The child makes a sharp turn of the arm, and the joint is displaced.

Displacement always occurs with a rupture of the capsule, deformation of the tendons, muscle structures, blood channels, perivasal plexuses of nerve fibers and can be complicated by bone destruction.

Dislocation can be open and closed:

  • open - displacement of the joints with deformation of the skin and the formation of injury;
  • closed - the skin is not damaged.

Also dislocations of the elbow joint appear in the period of minor sprains of ligaments and bags of articulation.

This "habitual dislocation it is a complicated condition of an untreated or improperly healed bone displacement: joints are not firmly established in the articular cavity, and displacement begins with any sharp or uncomfortable movement of the arm.

Accordingly, the direction of movement of the dislocation is classified:

  • lateral - epiphyses folded into the side. This displacement is formed after a fall on an elongated palm that has been left out;
  • front - the head of the articular region moves backward, occurs as a result of physical pressure on the arm bent at the elbow;
  • Back - the most common form, is characterized by the movement of the joint head forward. Occurs when falling on a straightened arm.

Main symptoms

The most basic symptom of dislocation of the elbow joint is a strong pain impulse in the elbow joint. To the painful feeling, the following signs of damage are added:

  • limited or complete immobilization of the hand;
  • the pain signal increases during the tension of the arm;
  • severe swelling in the damaged area;
  • deforming the ulnar portion;
  • depression of sensitivity at a palpation, numbness of fingers;
  • when the nerve fibers are destroyed, paralysis of the fingers or a whole brush may occur;
  • increase in the temperature norm, chills, febrile state.

Urgent care

Immediately after the injury it is necessary to immobilize the damaged area with a tire or a bandage (hang on the neck).

First aid for dislocation of the elbow joint - cooling of the site, ice compress.

It is also required to urgently take a medication that reduces pain signals, in order to prevent the development of pain shock.

In cases of uncomplicated dislocations, the direction of the limb can be made independently: the direction of the dislocation is reversed by the mechanism damage, that is, if the joint is turned back, it is necessary to move forward with a slight stretching of the arm until the bone is fully inserted in place.

It is easier to fix bone areas if they are less than the joint being pushed. All methods of correction are directed to restoration of the bone structure due to the reverse repetition of the actions that caused the dislocation.

If the displacement occurred as a result of a fall on the straight arm (posterior dislocation), then the elbow is displaced medially and upward, to adjust the joint, the traumatologist applies an effort so that the bone descends laterally down. For more comfortable correction, muscle relaxants are used.

Possible complications in the displacement

The anatomical structure of the elbow joint is quite complicated.

In the ulnar cavity (in front) and the canal (behind) are motor nerve fibers, venous and arterial vessels and arteries.

Trauma to the site can lead to jamming of the vessels, damage to the venous artery, and as a result - to complete immobilization of the hand and blood loss.

Important! Unless urgent measures are taken to rehabilitate, the destruction of the tissue can become irreversible. This type of injury is complicated by gangrene, loss of significant blood volume and sensitivity. In this case, the recovery is long enough and not always successful.

Diagnosis of injury

Diagnosis is carried out by a traumatologist using the method of palpation, visual examination and a number of instrumental methods of examination:

  • the displacement of the joint head;
  • check pulse on ulnar and radial artery;
  • subjective and objective assessment of skin sensitivity;
  • determination of the degree of disorganization of the peripheral circulation (checked by pressing on the nail plates).

The most popular ways of instrumental diagnostics:

  1. Radiographic examination. Pictures are taken in two projections.
  2. CT scan. Panoramic examination of the damaged area.
  3. Electromyography. Checking the pathological deformations of muscle tissue.
  4. Ultrasound examination. The articular capsule and presence of a hemarthrosis is checked.
  5. Arteriogram. Check for fluctuations in the arterial pulse.

It may also be necessary to consult a neurologist to determine the degree of damage to nerve vessels and endings:

  • squeezing and unclenching of the carpal region to test the functionality of the radial nerve;
  • adhesion of the thumb and little finger - the medial nerve;
  • Spreading all the fingers of the hand to reveal the deformation of the ulnar nerve.

Methods of treatment

The reconstruction of the damaged joint can occur in different ways, the choice of the method of treatment depends on the degree of damage, the patient's condition and the results of the general clinical examination.

How to treat a dislocation of the elbow joint:

  • conservative method: displacement is corrected without surgical intervention;
  • surgical method: used for damage to blood vessels, ligaments, tendons, traumatic bone injury.

The damaged joint is inserted into the ulnar cavity, during surgery, the vessels, bones and nerve fibers are restored.

After restoring the bone to the damaged area, a plaster cast is applied. The area of ​​application of the gypsum tire is located from the level of the humerus and up to the protruding heads of the bones of the wrist.

In uncomplicated cases, the plaster cast is removed after 14 days. In case of complications, treatment continues with clinical indications, respectively.

After the removal of gypsum, the process of restoring the motor functions of the damaged arm begins.

Medication Therapy

The ulnar dislocation is always accompanied by inflammation of the muscle tissue, rupture of the fibers, so medical treatment is necessary.

In the first period non-steroidal anti-inflammatory drugs, antihistamines and diuretics are prescribed.

After removal of the plaster cast, the composition is supplemented with preparations for local rehabilitation.

Anti-inflammatory drugs:

  • Pirokam;
  • Meloksikam;
  • Nimesil.

These medications will slow down the inflammation process, reduce the swelling of the tissue, and reduce painful reactions.

Recovery procedures

To restore the motor functions, return sensitivity and prevent the development of complications, it is necessary to undergo an individual rehabilitation program after the removal of the plaster bandage. It includes:

  • physiotherapeutic procedures: cryotherapy, magnetotherapy, low-frequency laser therapy, diadynamic therapy, electrostimulation;
  • electrophoresis;
  • phonophoresis;
  • physiotherapy;
  • segmental straight and indirect massage.

With dislocations of the elbow joint, restoration of bone and cartilage tissue requires certain nutrients.

For this purpose, a balanced diet with a high protein content is regulated, multivitamin complexes, hyaluronic acid-based preparations, rheological agents are taken.

On the injured arm, the entire rehabilitation period is imposed by restorative dressings (kerchief, tubular, bandage) to stimulate blood circulation and fix the weakened joints. This is a necessary measure to ensure the state of rest in the injured area and prevent additional damage to articular cartilage.

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Important! As an auxiliary method of rehabilitation, treatment with non-traditional medicine: compresses using cabbage leaf, honey, propolis, milk, wormwood and flowers yarrow.

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How to forget about pain in the joints ...

Joint pain limits your movements and full life ...

  • You are worried about discomfort, crunch and systematic pain ...
  • Perhaps you've tried a bunch of folk methods and medicines, creams and ointments ...
  • But judging by the fact that you read these lines - not much they helped you ...

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Dislocation of the elbow joint: treatment and recovery in the child

A dislocation of the elbow joint (forearm) in a child is an injury that requires immediate treatment, immobilization and recovery. Treatment of dislocation of the elbow joint occurs as follows:

  1. injured elbow refilled;
  2. for 7-14 days fixed plaster bandage;
  3. the child is referred for the course of physiotherapy;
  4. for the return of the joint of mobility the physician makes a complex of exercise therapy.

Rehabilitation after dislocation of the elbow joint is simply necessary. And the sooner the recovery is started, the faster the full recovery will come and the joint will gain its former mobility.

What symptoms accompany elbow elbow in children

Simple dislocation of the joint is manifested by the following symptoms:

  • intense pain;
  • when visually examined, pronounced and marked deformation of the joint (articular bones protrude);
  • in the elbow, mobility is significantly limited (partial or complete blockade of movements);
  • within the next one and a half hours after the lesion develops edema that spreads down to the brush and up to the shoulder.

Dislocations of complex are accompanied by rupture of blood vessels and nerve fibers, which leads to the appearance of additional symptoms:

  1. paralysis of the hand or fingers;
  2. absence of pulse on artery of carpal joint;
  3. in some parts of the forearm (below the injured joint) and the hand, numbness and tingling are noted.

A dislocation or subluxation of the elbow joint in children, resulting from careless play, falls, bruises or strokes, requires immediate medical attention.

Direction of dislocation

Dislocation of the joint must be corrected, after which the joint should be immobilized. The latter measure is needed for the healing of the cartilage cartilage. Blood supply to the forearm, hand and fingers is provided through the joint of the elbow (forearm).

The circulation of blood during dislocation stops, the probability of jamming the nerve fibers is high.

That is why the affected child must be quickly delivered to the trauma center. After a visual examination, the doctor will send the patient to the x-ray of the joint. This survey method helps to find out:

  • the amount of bone shear;
  • the degree of affection of the joint;
  • presence of damage to muscles and nerve endings.

Guided by these data, the doctor will determine the way the joint is corrected and the duration of its immobilization.

To correct the dislocation of the elbow joint, you can immediately after receiving an X-ray. Usually this procedure occurs under general anesthesia as follows:

  1. the joint is stretched (for this, the elbow of the child is bent as much as possible), without this manipulation, it is impossible to place the head of the bone in place;
  2. then the head inside the joint bag is sent to the correct position.

In difficult situations, in which ligaments, nerves and arteries are damaged, to restore ligamentous apparatus of nerve and blood communication between the limb and the body requires a surgical operation.

Dislocation of joints in children is often accompanied by partial or complete rupture of cartilaginous tissue. Restoration and healing of cartilage requires a temporary immobilization, for which a gypsum dressing is used.

Restoration of elbow after dislocation

For the return of the elbow joint of the child full functionality, the following methods are used:

  • LFK complex and swimming.
  • Physiotherapy.
  • Massage.
  • Support for vitamins and minerals.
  • Baths, compresses, ointments.

LFK represents complex physical exercises that provide an increase in the amplitude of movements in the elbow.

Exercises after trauma can be performed up to the degree of rotation or extension that the joint is able to provide without the appearance of pain. With daily exercise of exercise therapy with time, the amplitude will increase until a full recovery.

The most effective are exercises LFK on stuffing a small ball and rolling a rolling pin. The ball is filled several times a day and many times in one approach (up to 500).

The rolling pin is rolled on a flat surface. To do this, place the hand flat on the table, under it lay a rolling pin or a toy car on wheels.

  1. Moving forward - the elbow is unbent.
  2. Movement backwards - elbow bends.

The time of each exercise exercise is at least 20 minutes. Frequency - 3-4 times a day. You can increase the number of repetitions of each exercise, frequency of classes, time of their conduct. You can visit the pool 3-4 weeks after the removal of the gypsum.

Classes in the pool are much quicker to restore movement than the traditional complex LFK. This is due to the fact that cool water stimulates the work of all limb muscles.

Physiotherapeutic measures, massage, ointments and compresses

Physiotherapy, in particular electrophoresis, reduces pain and swelling. Thermal procedures reduce the morning stiffness in the joints of children, improve the blood supply of tissues. Physiotherapy enhances the effect of complex recovery.

Massage increases the flow of blood to the affected articulation. With the blood flow to the joint, substances necessary for the regeneration of tissues and complete recovery come.

In addition, the flow of blood carries the harmful products of the vital activity of cells.

The use of compresses and external ointments allows through the skin to provide connective tissues with useful substances.

  • Collagen for the joints is the basis of the cartilaginous tissue.
  • Calcium is a building material for cartilage.
  • Antiseptics - reduce swelling and relieve inflammation.
  • Casein - stimulates the regeneration of tissues.

For the restoration of joint tissues, folk medicine uses compresses with:

  1. hot milk;
  2. alcohol propolis;
  3. onions;
  4. wormwood.

Traditional medicine for the treatment of elbow dislocation offers a number of medications that stimulate the regeneration of the joint tissues and are intended for external use. For example, collagen ultra.

Gymnastics with dislocation of the elbow joint

  • Flexion and extension of the elbow.
  • In the position of the hand in the sides, the forearms are rotated in a circle.

Way of rotation: hands to raise in the sides, elbow to bend by 90 °, lower the forearm and lift it upwards.

Then try to lower it, then lift it up again. Keep the angle.

Classes with a gymnastic stick should be performed in the "standing" position, the stick is clamped on the edges. Raise the gymnastic stick over your head and lower it behind your neck. Again lift over your head and lower in front of your body.

Again a stick, but the exercise is carried out in the "sitting" position. Stick the pole on the floor and take both hands by its upper end. Bend in the back and straighten a healthy arm, while tilting the upper edge of the stick. The aching arm follows the healthy arm and stretches out.

Exercise "sitting on a chair" with two sticks: from the side of the sides to the floor to rest the ends of the sticks. With both hands on the upper ends, do circular movements in a manner of swimming. Hands are stretched forward, then to the sides and to the shoulders.

A source: http://sustav.info/travmy/vyvikhi/vyvih-loktevogo-sustava.html