Ewha Med J.  2023 Oct;46(4):e16. 10.12771/emj.2023.e16.

Postoperative Rehabilitation of Elbow Pain

Affiliations
  • 1Department of Orthopaedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea
  • 2Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

The elbow joint, with its intricate anatomy, plays a pivotal role in the upper limb's functional movements. Common surgical indications include epicondylitis, osteoarthritis, tendon tears, and neuropathies. Irrespective of the nature of surgery, appropriate postoperative rehabilitation is essential to enhance recovery, optimize functional outcomes, and minimize complications. Protective measures for the elbow vary based on the surgical procedure is performed. Extended postoperative immobilization is generally not advised. Temporary splints may be utilized to protect the soft tissues in the immediate aftermath of surgery, with patients advised to intermittently remove them to facilitate elbow movement. To increase mobility while ensuring the safety of repaired tendons or ligaments, articulated dynamic braces are recommended. This review delivers clinically useful recommendations specific to various surgical procedures, designed to be user-friendly even for non-specialists in orthopaedic surgery.

Keyword

Elbow pain; Postoperative care; Rehabilitation

Figure

  • Fig. 1. Anatomy of the elbow joint.

  • Fig. 2. Removable static splint.

  • Fig. 3. Wrist brace.

  • Fig. 4. Extensor carpi radialis brevis anatomy.

  • Fig. 5. Hinged articulated brace for protection from valgus/varus stress. It can control the angle of flexion/extension, depending on the rehabilitation stage.

  • Fig. 6. Self-conducted range of motion exercises. (A) Passive elbow flexion, (B) passive elbow extension.

  • Fig. 7. Biceps tendon anatomy and tear pathology.


Reference

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