Universität zu Köln

Hackl, Michael ORCID: 0000-0002-6183-5621, Leschinger, Tim, Uschok, Stephan, Mueller, Lars Peter and Wegmann, Kilian (2017). Rehabilitation of elbow fractures and dislocations. Obere Extremitaet-Schulter-Ellenbogen-Hand, 12 (4). S. 201 - 208. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1862-6602

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Abstract

Introduction. Elbow fractures and dislocations cause injury to important stabilizing structures and require specific treatment in order to regain functionality of the elbow joint. Regardless of whether surgical or nonsurgical treatment is performed, correct rehabilitation following diagnosis of the injury pattern is crucial to achieve the best possible outcome in each individual case. Distal humerus fractures. After osteosynthesis, as well as after total elbow arthroplasty of distal humerus fractures, the postoperative protocol depends on whether a tricepson or triceps-off approach was used. While triceps-on approaches allow active extension immediately postoperatively, triceps-off approaches require a more restrictive protocol. Radial head fractures. Radial head fractures are frequently accompanied by additional osteoligamentous injuries. Rehabilitation following radial head fractures usually involves active-assistedmobilization over the full range of motion; however, concomitant injuries need to be considered when formulating a treatment plan. Proximal ulna fractures. Rehabilitation of surgically treated olecranon fractures commonly includes active flexion and gravity-assisted extension. Coronoid fractures are often the result of posterior elbow dislocation, which needs to be kept in mind during rehabilitation of these injuries. Complex proximal ulna fractures (e.g. Monteggia-like injuries) are frequently associated with persisting disability. Ligamentous elbow dislocation. Simple elbow dislocations are usually treated non-surgically. Early functional treatment should be preferred over prolonged immobilization as it decreases the risk of post-traumatic elbow stiffness without increasing the possibility of persistent instability.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hackl, Michael UNSPECIFIED orcid.org/0000-0002-6183-5621 UNSPECIFIED Leschinger, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Uschok, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Lars Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Wegmann, Kilian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209632
DOI:	10.1007/s11678-017-0425-1
Journal or Publication Title:	Obere Extremitaet-Schulter-Ellenbogen-Hand
Volume:	12
Number:	4
Page Range:	S. 201 - 208
Date:	2017
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1862-6602
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MECHANISM; ARTHROPLASTY; STABILITY; INJURIES; FIXATION; PROTOCOL; MOTION; ADULTS Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20963