How Do I Treat a Swollen Elbow?

Elbow sprains are common closed injuries of the elbow joint, which are mostly caused by labor, sports and play.

Elbow sprain

Elbow sprains are common closed injuries of the elbow joint, which are mostly caused by labor, sports and play.
Chinese name
Elbow sprain
Category
Common closed elbow injuries
Clinical manifestation
Patients with elbow support, limited joint movements, etc.
Etiology and pathogenesis
The fallen servant slipped and waited with his palms
medical treatement
Early topical swelling and analgesic cream or dog skin cream
Functional exercise
Early functional exercises can be used for fist exercises
Any movement of the elbow joint beyond the normal range of motion can cause damage to the soft tissues inside and outside the joint. Common elbow rulers,
Direct violence can cause elbow soft tissue contusion, such as slipping and falling, palms supporting the ground. Conducted violence can cause the elbow joint to be excessively abducted, straightened or twisted, causing elbow sprains. Because the stability of the joint mainly depends on the constraints of the joint capsule and ligaments, radial ligament injuries are the most common clinically, followed by the ulnar side and the posterior side.
Severe elbow sprains, contusions, immobilization or improper immobilization after the injury, or inappropriate repeated massage can enlarge the hematoma. This kind of hematoma has soft tissue hematoma and subperiosteal hematoma, and often communicate with each other. When the hematoma is mechanized, the ossification of the tissue around the joints is caused by the ossification of the submucosa and the calcium in the bone into the connective tissue mass.
Distinguish from elbow fractures and / or dislocations, the latter being significantly abnormal on X-rays.
"The Essentials of Yizong Jinjian · Orthopedic Heart Method" states that the elbow injury: "Its oblique tendons, rubbing with hands to make it calm, although it can be lifted and lifted immediately, it is still good to rest." It indicates that the function recovery after the elbow injury cannot be taken too quickly. It should be adjusted according to the degree of injury.

Manual treatment of elbow sprain

When the acute sprain of the elbow joint is swollen, it is generally forbidden to treat it by hand, especially the rough heavy injury. If you suspect that there is a slight displacement of the joint, you can do a passive flexion and extension of the elbow joint under traction of the elbow, which can play a rehabilitation role, but it is not recommended to repeat the operation, especially during the recovery period. Injury, and even induce ossifying myositis.
After touching the tenderness point, the doctor holds the affected elbow of the patient's affected side with the palms of both hands and gently presses it several times, which has the effect of reducing pain. With the affected side as the center, the doctor smoothed the stripped muscle fibers with the thumb in the direction of the collateral ligament walking, and generally repaired gradually in about 2 weeks.
In addition, in order to prevent the torn joint capsule from folding back into the joint space, the joint should be passively flexed and stretched once under traction to correct the fine joint misalignment. At the same time, it can pull out the soft tissue embedded in the joint and penetrate the joint. The hematoma was pushed out of the joint space. However, it should not be repeated, especially during the recovery period. After rough flexion and extension activities, new injuries will be added, and ossifying myositis may even be induced.

Drug treatment for elbow sprain

1. Oral medicine should be applied early in the blood circulation, stasis and pain relief drugs, such as Taohong Siwu Decoction. Western medicine uses non-steroidal anti-inflammatory analgesics.
2. For external use, apply swelling and analgesic cream or dog skin cream in the early stage, and fumigate with Chinese medicine in the later stage.

Treatment of elbow sprain and contusion

In the early stage, you can suspend the elbow with a triangle scarf at 90 °, or use an elbow flexion cast for 2 weeks to limit elbow flexion and extension.

Elbow sprain and contusion function exercise

Early functional exercise can be used for fist exercises, and elbow flexion and extension in the middle and late stages. Such as passive flexion and extension activities, the movement must be gentle, as long as it does not cause significant pain, rough all kinds of active and passive activities are prohibited.

Surgical treatment of elbow sprain

The ulnar collateral ligament of the elbow joint is completely ruptured and surgical treatment is recommended. The surgical incision was made with the medial elbow incision. The patient was supine. The incision was centered on the epicondyle of the humerus and extended 5 cm along the medial epicondyle of the humerus and 5 cm along the longitudinal axis of the medial forearm. Avoid and protect the ulnar nerve during the operation.

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