关节镜后运动疗法治疗肘关节区骨折

N. Bekir, Steliyana Valeva
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引用次数: 0

摘要

肘关节是上肢复杂的中间运动单元。肘关节的病理变化影响上肢的整体功能,使其难以进行日常生活活动,练习体育运动,进行体力劳动。由于肘关节随后活动的各种创伤性病变,存在许多功能限制和干扰关节正常功能的问题,如活动范围受限、疼痛、肌肉失衡、水肿等。关节复杂的解剖和生物力学特征决定了功能恢复的难度,这是一个复杂而漫长的过程,需要寻找更保守的治疗方法,如关节镜检查。关节镜检查最初是一种诊断手段,但后来被应用于治疗各种关节病变。迈克尔·伯曼在1932年首次报道了在尸体模型上进行肘关节关节镜检查。从关节内松体去除到肘关节骨关节炎和骨折的治疗,适应症很多。肘部骨折是最难治疗和运动疗法的上肢损伤之一。活动受限可导致工作能力显著下降,并带来严重的社会和职业后果。关节的持续时间和成功恢复取决于骨折的类型。研究表明,关节镜治疗与开放手术干预相比,有利于缩短术后时间,并更快地恢复到病前活动。需要有针对性的运动疗法,以最大限度地提高关节镜术后肘关节的功能恢复。关节镜下治疗肘关节骨折后的早期复杂运动治疗决定了上肢功能的最大可能恢复。确保手术的完全成功,防止术后并发症的发生是非常重要的。治疗的最终目标是一个功能正常,无痛和稳定的肘关节。
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KINESITHERAPY AFTER ARTHROSCOPIC TREATMENT OF FRACTURES IN THE AREA OF THE ELBOW JOINT
The elbow joint is a complex intermediate motor unit of the upper limb. Pathological changes in theelbow joint affect the overall function of the upper limb, and this makes it difficult to carry out activities of dailyliving, practice sports, perform physical labor. As a consequence of the various trauma lesions with subsequentimmobilization of the elbow joint, there are numerous functional limitations and problems that interfere with thenormal function of the joint, such as limited range of motion, pain, muscle imbalance, edema, etc. The complexanatomical and biomechanical characteristics of the joint determine the difficulty of functional recovery, which is acomplex and prolonged process, and necessitates the search for more sparing methods of treatment, such asarthroscopy. Arthroscopy originated as a diagnostic procedure, but has subsequently been applied as a therapeuticprocedure to treat a wide range of joint pathologies. Michael Burman in 1932 first reported on elbow jointarthroscopy performed on cadaver models. There are many indications from removal of intra-articular loose bodiesto treatment of elbow osteoarthritis and fractures. Elbow fractures are one of the most difficult upper extremityinjuries to treat and kinesitherapy. Restriction of movement can lead to a significant reduction in working capacitywith serious social and occupational consequences. The duration and successful recovery of the joint depends on thetype of fracture. Studies have shown that arthroscopic treatment versus open surgical interventions favor reducedpostoperative time, as well as faster return to premorbid activity. Targeted kinesitherapy is needed to maximizerapid functional recovery of the elbow joint after arthroscopy. Early complex kinesitherapy after arthroscopictreatment of fractures in the elbow joint determines the maximum possible recovery of upper limb function. It isextremely important to ensure the complete success of the operation, to prevent the likelihood of complications aftersurgery. The ultimate goal of treatment is a functioning, pain-free and stable elbow.
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