Rehabilitation of Elbow Instability

Pipicelli, Joey G.; King, Graham J.W.

doi:10.1016/j.hcl.2020.07.003

Cited by 11 publications

(12 citation statements)

References 57 publications

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“…The rehabilitation plan depends on the surgical approach used and the implant constraint selected. 36 Rehabilitation is structured to minimize early complications while restoring elbow function. In the immediate postoperative period, the elbow is immobilized in a semi-extended position with an anterior splint to avoid tension and pressure on the posterior wound.…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

“…An overhead rehabilitation program with the use of a lightweight thermoplastic resting splint in between exercises for the first 6 weeks may be helpful. 36 If there is a limitation of elbow motion, a static progressive extension splint at night or flexion cuff may be used in both linked and unlinked arthroplasty patients after 6 weeks.…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

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Primary total elbow arthroplasty

Badre

King

2021

Journal of Clinical Orthopaedics and Trauma

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There have been significant improvements in surgical techniques and implant designs of elbow arthroplasty over the last five decades. These advances have resulted in improved outcomes and expansion of indications for total elow arthroplasty (TEA). As the proportion of TEAs being performed for inflammatory arthritis has been decreasing in recent years, TEAs are being performed more commonly for the management of acute distal humerus fractures in the elderly, post-traumatic sequelae, and primary osteoarthritis. Appropriate patient selection and meticulous attention to surgical technique including the surgical approach, implant positioning and fixation will result in acceptable outcomes. Future advances in the design, instrumentation, and surgical technique will allow for further improvement in outcomes as the indications for TEA continue to expand.

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Section: Postoperative Rehabilitationmentioning

confidence: 99%

Section: Postoperative Rehabilitationmentioning

confidence: 99%

Primary total elbow arthroplasty

Badre

King

2021

Journal of Clinical Orthopaedics and Trauma

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“…This program was conducted in a multidisciplinary team with the other physicians (surgeon, oncologist), also considering the principles of oncological rehabilitation (e.g., recovery of function considering post-surgical precautions and contraindications, checking for signs of infection and other adverse events) to achieve a satisfactory oncological outcome while preserving the best possible function (Cui et al, 2019). The specific T A B L E 2 Rehabilitation program summary in accordance with evidence (Cui et al, 2019;Fusaro et al, 2014;Kim et al, 2020;Maltser et al, 2017;Manocha et al, 2017;Pipicelli & King, 2020;Schubert et al, 2021;Szekeres & King, 2006;Weber et al, 2003;Wilk & Arrigo, 2020).…”

Section: Period Of Treatmentmentioning

confidence: 99%

Ewing's sarcoma in a young man mimicking lateral elbow pain: A case report with 2 years follow‐up

Zanconato,

Rossettini,

Mourad

et al. 2023

Physiotherapy Res Intl

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Background and PurposeLateral elbow pain represents a common musculoskeletal disorder, mostly non‐specific and benign. In rare cases, it can be the first symptom of a severe disease such as Ewing's sarcoma (ES). ES is the second most common primary malignant bone tumor in the young population, with a high probability of an unfavourable prognosis.Case PresentationThis case report presents the history of a young man presenting to the physical therapist with a diagnosis of “epicondylitis” in the right elbow, which was later revealed to be an aggressive ES of the ulna. Findings raising clinical doubts were (a) constant pain even at night and not dependent on load, (b) significant loss of function, (c) patient's young age, and (d) a palpable mass in the elbow.ResultsAfter diagnosis, the patient received medical (chemotherapy, radiotherapy and surgery) and a rehabilitation program. After treatment, the patient improved elbow function, decreased disability and returned to social participation, maintaining positive outcomes at the 2‐year follow‐up.DiscussionIn summary, this case report emphasizes the importance of differential diagnosis and screening for referral of red flags in physical therapy. Moreover, it describes the rehabilitation of a patient with ES, enriching the scientific literature in the field.

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“…Additionally, the therapy sessions involve repetitive movements where the range of motion (ROM) is progressively adapted to the patient's evolution. To this end, the physiotherapist assesses in-place the mobility limits for each patient before proceeding with the treatment [245,246].…”

Section: Speed Of the Upper Limbsmentioning

confidence: 99%

“…However, one of the limitations of these exercises is the need to maintain a specific pose. For instance, the forearms' pronationsupination is restored by asking the patient to hold a weight at a 90º elbow-flexion and rotate the wrist [246]. This posture exhausts the biceps muscle, which determines the resting periods despite not being the rehabilitation target [248].…”

Section: Speed Of the Upper Limbsmentioning

confidence: 99%

Analysis and design of a flexible exoskeleton for the upper limbs

Escudero¹

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Han sido muchas las personas que han intervenido y contribuido durante estos años a este trabajo. En primer lugar, agradecer a mis directores de tesis, Manuel Ferre y Miguel Ángel Sánchez-Urán, la oportunidad de formar parte de esta nueva línea de investigación.Gracias, Manolo, por confiar en mi y dejar que pusiese a prueba mis ideas, incluso cuando ello conllevaba la valiosa lección del error. A ti también, Miguel, por enseñarme la importancia de la practicidad y el pensamiento crítico.A Miguel Angel Olivares-Mendez y Antonio Giménez, por su ayuda y mostrarme la importancia de colaborar.Por supuesto, agradecer también a todos los que se han ido uniendo durante estos años a los proyectos LUXBIT y ExoFlex. A todos los alumnos que he tenido el placer de cotutorizar.

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Rehabilitation of Elbow Instability

Cited by 11 publications

References 57 publications

Primary total elbow arthroplasty

Primary total elbow arthroplasty

Ewing's sarcoma in a young man mimicking lateral elbow pain: A case report with 2 years follow‐up

Analysis and design of a flexible exoskeleton for the upper limbs

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