- SPLINT FOR RADIAL HEAD FRACTURE MANUAL
- SPLINT FOR RADIAL HEAD FRACTURE LICENSE
- SPLINT FOR RADIAL HEAD FRACTURE FREE
As she was not advised on the nature of her injury, she casually scheduled an appointment with an orthopedist and, after his evaluation, decided she wanted a second opinion. About one week later, she was contacted by the urgent care and was directed to pick up her radiographs and to follow-up with an orthopedist. Radiographs were taken at that time, but she was not informed she had sustained a radial head fracture.
She went to the local urgent care initially for evaluation. Upon injury, she landed on her buttocks and right elbow.
SPLINT FOR RADIAL HEAD FRACTURE MANUAL
More specifically, this case report highlights the addition of joint specific manual intervention to the patient management to restore mobility and full elbow extension without the prolonged use of dynamic splinting in a patient with complicated radial head fracture.Ī right handed 40-year-old hair stylist was referred to physical therapy for evaluation and treatment of a radial head malunion fracture status-post ORIF secondary to a fall while roller skating ten weeks prior. This case report presents the examination findings of a post-traumatic malunion radial head fracture with subsequent open reduction internal fixation (ORIF), the interpretation of the examination findings, interventions used during the rehabilitation process, and the outcomes of treatment. Unfortunately, the literature establishing the role and benefit of joint specific treatment is lacking. Furthermore, depending on one’s insurance the splint can be cost prohibitive. The time commitment for splinting is not always feasible.
SPLINT FOR RADIAL HEAD FRACTURE FREE
reported on the effectiveness of turnbuckle splinting however, in their protocol the subjects wore the splint for 20 hours per day and were allowed to remove the splint for one hour periods of free movement at breakfast, lunch, dinner and before bed. However, the benefits of dynamic splinting are most notable in the first few months following injury or surgery, though gains can been observed up to 12 months. Additionally, the role has been established for dynamic splinting to restore elbow ROM. Outcome research on rehabilitation following elbow fracture treated conservatively or surgically is limited although most protocols recommend both active and passive range of motion (ROM). Additionally, it is well documented that elbow stiffness ensues following elbow fracture. Residual post-traumatic joint incongruity may lead to elbow osteoarthritis. Research has suggested that non-displaced fractures have minimal residual deficits however, displaced fractures tend to display a non-favorable outcome even if short-term follow-up does not reveal functional deficits. Radial head fractures are one of the most common fractures of the elbow - and typically occur after a fall on an outstretched arm. Keywords:Radius Fracture, Musculoskeletal Manipulations, Rehabilitation, Elbow, Contracture The rehabilitation conducted over a four-month course is discussed and the benefits of joint specific manual therapy in the rehabilitation are highlighted. Therefore, the aim of this case report is to present the evaluation and treatment of a 40-year-old female following a complicated radial head fracture. Rehabilitation following such a fracture can be challenging and the inclusion of manual therapy in the management process has not been described to date in the literature.
Additionally, elbow pain and stiffness due to immobilization or surgical reduction and stabilization typically ensues and can limit one’s overall upper extremity function. When the fracture is displaced, unfavorable outcomes can occur and lead to early arthritis. Radial head fractures are one of the most common fractures of the elbow and typically occur after a fall on an outstretched arm. Received 7 February 2014 revised 6 March 2014 accepted 5 April 2014
SPLINT FOR RADIAL HEAD FRACTURE LICENSE
This work is licensed under the Creative Commons Attribution International License (CC BY). 1George Erb Physical Therapy Inc., Camarillo, USAĢInternational Academy of Orthopedic Medicine-United States, Tucson, USAģCenter for Rehabilitation Research, Texas Tech University Health Sciences Center, Lubbock, USAĮmail: © 2014 by authors and Scientific Research Publishing Inc.
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