RECOVERY OF MUSCLE FUNCTION
AFTER STABLE ELBOW FRACTURES
PROCEEDINGS OF THE 59th INTERNATIONAL SCIENTIFIC CONFERENCE OF
Problem statement: The elbow joint is an important link in the kinematic chain of the upper limb. It
allows the hand to be placed at different heights and position in space for various daily, self-service
and occupational activities. Functional recovery of the elbow joint after fractures is a challenging
problem. Following various specialized literature we did not have described an algorithm for
physiotherapy and deadlines to restore the muscle function of the elbow joint after stable intraarticular
fractures treated conservatively.
Purpose: To follow the recovery of the muscle function of the elbow joint after intra-articular stable
fractures treated conservatively by applying own methodology of physiotherapy.
Methods: Within the period of two years, the functional recovery of 30 patients with stable intraarticular
fractures of the elbow joint, treated with conservative methods (immobilization), was
monitored. Own physiotherapy methodology was applied to patients. The patients were put under
control for three months with physiotherapy procedures. During that period of time data of the end
dynamometry, manual muscle testing and centimeters of arm and forearm was collected.
Results: After removing of the immobilization were established hypotrophy and suppression of
muscle function among patients manifested in weakness and inability to perform active movements.
At the end of the follow-up of functional recovery were achieved 95,28 % of strength of the hand and
more than 50% of patients have maximal evaluation of manual muscle testing of flexors, extensors and
rotators of elbow joint. Centimeters of arm and forearm shows that muscle trophic is restored.
Discussion: During the course of recovery procedures the thropics and muscle strength were
gradually recovered. At the end of the study did not detect a significant difference in the analyzed
indicators compared to the healthy upper limb.
Conclusions: Careful selection of tools of physiotherapy designed to restore muscle function gives
result and allows early involvement of upper extremity in daily and work activities.
Key words: elbow, muscle function, strength, dynamometry, manual muscle testing, centimeters of arm and forearm.