Watch Out While You Paddle

by Administrator 22. September 2017 11:58

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Orthopedic Treatment For Olecranon Fracture

by Administrator 19. July 2017 19:28

The elbow is a crucial joint which works like a hinge. It allows the forearm to be stretched forward or bent up towards the shoulder. The joint is also responsible for rotation (necessary for moving the hand palm up or palm down) of the forearm. It is stabilized and supported by a group of bones, muscles, tendons, and ligaments. Median, Radial and Ulnar nerves are the major nerves that cross the elbow.

The elbow joint contains an extremity of three bones:   humerus, radius and ulna. Distal humerus is the lower extremity of humerus; radial head is the rounded upper end of radius; olecranon is the upper end of ulna. The olecranon is not covered much by any tissue and can be easily felt with bare hands. As a result, it is quite susceptible to injuries.

Olecranon alone may suffer a fracture or it may be damaged along with other fracture/injuries of the elbow joint. Sometimes the fracture may be an open fracture where the broken bone tears through the skin and is prone to severe infections. Olecranon fractures may or may not involve displacement of bones. The injury is more common in adults than children.

Causes

  • Falls directly on the elbow
  • Hitting a solid object forcefully with the elbow
  • Motor vehicle accidents with direct injury to the elbow
  • Forceful pull of the triceps can cause avulsion fractures of olecranon
    Driving a car with elbow projecting through the window can cause fracture of the olecranon

Symptoms

  • Swelling of the elbow
  • Tenderness and severe pain sets in immediately after the injury
  • Numbness in the fingers of the affected hand
  • Painful movement of the elbow joint, fingers and wrist
  • Inability to flex or straighten the forearm
  • Joint instability- feeling as if the elbow is falling apart
  • Visible bone fragments tearing through the cuts in the skin at elbow

Diagnosis

  • Physical examination may reveal bone displacement if any. Visible symptoms of the problem may be analyzed during the physical examination
  • Details of the mode and tie of injury may be taken down
  • Analysis of the patient’s medical history
  • The patient may be asked to move the arm in different directions to check for loss of flexibility and range of motion
  • Anomalies in the flow of blood can be diagnosed by examination of the pulse
  • X-rays may help in diagnosing the extent and location of  displacement

Treatment

  • Rest the injured limb as it promotes natural healing
  • Keep the arm elevated at chest level
  • Immobilization of the joint using a splint for 4-6 weeks
  • Surgical intervention may be needed in case of complex fractures and significant displacements. However, it is best avoided in elderly people.
  • Screws, wires, tension band wiring and plates may be used to stabilize the joint under surgical procedures
  • Physical therapy may be required to restore joint flexibility and strength
  • Painkillers and anti inflammatory medicines may be prescribed

Visit the physicians at OrthoTexas to get treatment of Olecranon Fracture. For an appointment, call at (972) 492 - 1334.

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Ulnar Collateral Ligament Injury: Orthopedic Treatment In Carrollton

by Administrator 24. December 2016 10:19

The Ulnar Collateral Ligament is a band of ligaments that connects the upper arm bone (humerus) to the lower arm bone (ulna). These soft tissue structures stabilize the elbow joint and allow a person to perform overhead arm movements such as playing tennis or throwing a ball. An ulnar collateral Injury occurs due to stretching, loosening or tearing of these ligaments. The condition may result in physical limitations and is a common injury observed in sportspersons. Ulnar Collateral Ligament damage does not occur due to stress form daily activities as this type of damage requires a considerable amount of force that exceeds the threshold of the ligaments to cause lengthening or tears. This injury has a high incidence of re-occurring post treatment.

Causes

  • Overuse injuries caused by repeated overhead movement such as playing volleyball or basketball
  • Inherent weakness of the muscles and ligaments
  • Improper throwing techniques
  • Not warming up before indulging in a sport
  • Elbow Dislocations
  • The ligaments may be damaged due to surgical procedures applied on the elbow joint or the upper arm

Symptoms

  • Pain in the elbow joint and the arm, which may increase while performing tasks that require lifting the hands or arms above the head
  • Swelling and tenderness in the inner side of the elbow joint or the upper arm
  • Limited range of motion
  • A tingling sensation in the arm and inner side of the elbow
  • Weakness in the elbow joint
  • Numbness in the fingers (particularly little finger) and hand
  • Loss of grip
  • A popping sound at the time of injury
  • Stiffness
  • Change in color of the fingernails

Diagnosis

  • Analysis of the existing symptoms reported by the patient
  • MRI scan may be required to view the ligaments
  • The doctor may use palpation and pressure to identify the exact location of pain

Treatment

  • The patient may be recommended to take rest and abstain from any physical activities that cause pain
  • Physical therapy with special focus on ROM (range of motion) exercises may be recommended to accelerate recovery
  • Anti-inflammatory medicines may be prescribed by the doctor
  • Ice packs may be applied to ease pain and swelling
  • Protective splint or elbow brace may be recommended
  • In case of complete tear, surgery may be suggested. It will aim at reconstructing the ligament and removing the damaged parts, if any
  • It may also be advised to avoid arm movements that aggravate pain or increase the risk of injury

The surgeons at OrthoTexas offer complete treatment for Ulnar Collateral Ligament Injury. To schedule an appointment, call at (972) 492-1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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