Elbow stiffness
Introduction
Introduction to elbow joint rigidity It refers to the loss of elbow joint activity caused by various reasons, fixed at a specific position, called elbow joint rigidity, often can be divided into two types: fibrous stiffness and bony rigidity. Fibrous stiffness differs from bony stiffness, which remains a little active because the joint space is not fully ossified. Elbow joint rigidity has its characteristic clinical manifestations, so the diagnosis is not difficult. The clinical use of auxiliary examination is mainly used to distinguish the cause. For patients with ulnar elbow stiffness, X-ray, MRI or CT can be used. The nerve groove becomes shallow, narrow, or has osteophytes. It is clinically necessary to select an appropriate auxiliary examination method for the suspected cause according to the clinical symptoms of the patient. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: elbow joint stiffness and fibrous stiffness
Cause
Elbow joint ankylosis
Elbow fracture (30%):
An elbow joint fracture, especially after an intra-articular fracture, is improperly repositioned. A fracture is the complete or partial rupture of the continuity of the bone structure. More common in children and the elderly, young and middle-aged people also happen from time to time. The patient often has a fracture of one part, and a few are multiple fractures.
Osteomyositis (20%):
Myositis ossificans is a disease of muscle hardening caused by deposition of progressive bone structure in muscle and connective tissue. The cause is unclear. Part of it is autosomal dominant. Common in children or youth. The congenital torticollis, torsion and neck muscles that are characterized by abnormalities are swollen and hard, but most do not have pain. Muscles can be involved in the whole body. Strenuous exercise or trauma can cause muscle rupture, hemorrhage and hematoma formation, which can be followed by muscle stiffness and ossification, causing the joint muscles to be stiff and crippled.
Tissue damage (15%):
Muscles, tendons, ligaments, joint capsules and other injuries cause extensive and severe adhesions.
Improper post-traumatic treatment (10%):
Improper treatment of the elbow joint after trauma, such as long-term fixation, strong activity, massage therapy, etc. lead to elbow joint infection.
Prevention
Elbow joint rigidity prevention
The prevention of this disease is mainly to take some positive preventive measures against the disease, and it is also necessary to pay attention to the patient's functional exercise for the patients undergoing surgery, as follows:
After manual treatment, the elbow joint is first flexibly stretched and stretched every day. If there is a condition, CPM can be used. The range of motion is from small to large, and the maximum range can be reached as much as possible. Then the patient can flexibly extend the elbow joint to endure and not fatigue. At the same time, the patient is forced to perform various activities on the hands, wrists and shoulders at any time.
Complication
Elbow joint rigidity Complications elbow joint stiffness and fibrous stiffness
Elbow joint rigidity is a common sequela of elbow trauma. During the treatment, the limbs are braked for a long time, causing adhesion between the joints, muscles around the joints or tendons and ligament fascia, eventually leading to joint rigidity, Chinese medicine massage, acupuncture treatment Patients with mild tonicity are effective and are ineffective for patients with advanced disease: although there are many surgical procedures for open surgery in Western medicine, the surgical injury is large, and the incision adhesion, scar, and contracture caused by the operation itself cannot be avoided due to surgical scars and adhesions. The only function of the elbow joint before surgery is completely lost, which is a common complication of this disease.
Symptom
Elbow joint stiffness symptoms Common symptoms Joint pain elbow lateral swelling and dysfunction erbium syndrome joint tonic muscle atrophy morning stiffness
The elbow joint can be straightened to any position, with the most flexion position, accounting for about 2/3; about 1/3 of the straight position, regardless of the position, causing severe dysfunction of the elbow joint. X-ray examination can help analyze the elbow joint. The reason for being strong.
The diagnosis of ulnar elbow ankylosis has the following criteria:
1 The elbow joint is reduced by 30° and the flexion is less than 120°, which is the rigidity of the elbow joint.
2 elbow joint pain, increased pain during night or functional exercise; morning elbow joint, increased activity after functional exercise.
3 The elbow joint has ulnar nerve irritation during flexion and extension, that is, when the elbow joint is extended, the elbow and forearm are sore, discomfort, pain, and radiate to the 4th and 5th fingers. After the nerve block is anesthetized, the above symptoms disappear. Or, there have been symptoms of ulnar nerve stimulation, but the degree of joint activity is currently small, the ulnar nerve innervates muscle atrophy, etc., or the Wartenberg sign and the Froment sign can be found.
4 Elbow joint rigidity showed a gradual increase trend. After routine functional exercise, traditional Chinese medicine fumigation and massage, active tendons and drug treatment can not prevent development.
5X line, MR I or CT suggest that the ulnar nerve groove can be shallow, narrow, or have osteophytes.
Examine
Elbow joint ankylosis
Elbow joint rigidity has its characteristic clinical manifestations, so the diagnosis is not difficult. The clinical use of auxiliary examination is mainly used to distinguish the cause. For patients with ulnar elbow stiffness, X-ray, MR I or CT may have The ulnar nerve groove becomes shallow, narrow, or has osteophytes. It is necessary to select an appropriate auxiliary examination method for the suspected cause according to the clinical symptoms of the patient.
Diagnosis
Elbow joint ankylosis diagnosis
Elbow joint rigidity is not difficult to diagnose because of its special clinical manifestations. Clinically, it mainly identifies the cause of elbow joint rigidity.
There are many reasons for the formation of elbow joint rigidity. There are spontaneous factors in patients, and there are also iatrogenic secondary factors. There are bony elbow joint rigidity, soft tissue adhesion and contracture rigidity, and elbow joint joint rigidity formed by nerve function involvement. In the elbow joint rigidity formed by the affected, the clinical treatment should be treated differently. The elbow joint stiffness which gradually appears due to the elbow joint caused by the disturbance of the ulnar nerve is actually the ulnar nerve-derived elbow joint rigidity, only the cause is distinguished. In order to take the right treatment, patients can recover as soon as possible.
