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    Rehab Tutorial Elbow Update

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    The document provides guidance on rehabilitation for a radius fracture, noting that the typical mechanism of injury involves the arm in extension and pronation and that red flags need to be ruled out such as infection or clotting. It describes using x-rays to view the fracture and range of motion and strength assessments to monitor recovery, with a treatment plan involving casting for 6-10 weeks followed by progressive mobilization and strengthening exercises.

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    Rehab Tutorial Elbow Update

    Uploaded by

    api-451168851
    33 views3 pages
    The document provides guidance on rehabilitation for a radius fracture, noting that the typical mechanism of injury involves the arm in extension and pronation and that red flags need to be ruled out such as infection or clotting. It describes using x-rays to view the fracture and range of motion and strength assessments to monitor recovery, with a treatment plan involving casting for 6-10 weeks followed by progressive mobilization and strengthening exercises.

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    rehab tutorial elbow update

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    The document provides guidance on rehabilitation for a radius fracture, noting that the typical mechanism of injury involves the arm in extension and pronation and that red flags need to be ruled out such as infection or clotting. It describes using x-rays to view the fracture and range of motion and strength assessments to monitor recovery, with a treatment plan involving casting for 6-10 weeks followed by progressive mobilization and strengthening exercises.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    33 views3 pages

    Rehab Tutorial Elbow Update

    Uploaded by

    api-451168851
    The document provides guidance on rehabilitation for a radius fracture, noting that the typical mechanism of injury involves the arm in extension and pronation and that red flags need to be ruled out such as infection or clotting. It describes using x-rays to view the fracture and range of motion and strength assessments to monitor recovery, with a treatment plan involving casting for 6-10 weeks followed by progressive mobilization and strengthening exercises.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Tutorial for rehabilitation of peripheral joints

    Group 7.

    Radius fracture (non-displaced or surgically fixed)

    The following questions should be answered

    1. What is a classic history or capsule summary for this presentation? Specifically a typical
    mechanism of injury and the typical aggravating and relieving factors.

    FOOSH – arm in extension and pronation

    2. What red flags and other conditions you need to eliminate? (include systemic and peripheral
    presentations.

    This is a broken bone so it is a red flag. Need to make sure that there is no infection or
    clotting.

    3. What outcome assessments would you use?

    When in recovery you would use range of motion and strength + pain scale score. If there is
    damage to the radial head, there can be damage to the posterior interosseous nerve which
    controls the function of finger and wrist extension. It is important to document any changes
    or limitations to range of motion and strength as a decline in any of these measurements
    could indicate an untreated pathology.

    4. If there is a grading scale, can you briefly describe it?

     Mason Type 1, below 2mm


     Mason Type 2, above 2mm
     Mason Type 3, a complete fracture

    5. What imaging techniques would you use and why?

    X-ray, looking for fracture in the bone or sail sign of soft tissue as it elevates the anterior fat
    pad.
    The wrist should always be X-rayed if there is any suspicion of radial or ulnar fracture.

    6. On the provided Images, please indicate the pathology and describe it?

    Complete fracture of the distal radial bone.

    7. What relevant orthopaedic, quantitative and qualitative tests would you use? Demonstrate
    one of each on the patient to the class.

    Try to pronate and supinate the forearm


    8. Outline your management strategy including chiropractic and other techniques, treatment
    plan; including your visit schedule, home advice, exercises and progressions. Include
    expectations of what they can achieve at relevant time frames and what exercises you would
    use in the relevant time frames.

    Depending on the persons age it might take 6 – 10 weeks in a cast.


    A fracture as serious as this would have to be guided by recommendations of the
    orthopaedic surgeon.
    When the cast is removed gentle mobilization without resistance would be recommended
    for the first week and then progressing through to resisted mobilization exercises including
    pronation, supination, flexion and extension.
    Wrist flexors would have to strengthened by doing wrist curls and wrist extension.
    Healing times will vary depending on the age of the patient.

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