One month ago, there was a collision with a large truck?
Hello, Dr.
Chen.
About a month ago, I had a collision with a large truck.
On the day of the accident, I didn't have any obvious external injuries, just some bruising on my elbow.
However, recently, especially when I perform abduction movements or rotate my wrist, my hand has been noticeably sore and painful.
I visited a clinic, and the doctor mentioned something about the ulnar collateral ligament being loose (I’m not quite sure what that means).
He said it would be difficult to heal and recommended wearing a wrist brace and undergoing rehabilitation.
Can he really diagnose this issue just by palpation? Do I need to go to the hospital for an X-ray? I would like to know which specific area he said was loose.
Is relying solely on a wrist brace and rehabilitation the only option? How long will the treatment take? The main concern is that my job occasionally requires lifting heavy objects, and the affected hand is my dominant hand.
Are there any other ways to help my hand heal faster? What should I pay attention to during this process? Thank you for your patience in reading this message.
Thank you.
Af, 20~29 year old female. Ask Date: 2016/03/25
Dr. Chen Yongxue reply Orthopedics
Hello, the radioulnar joint has both proximal and distal locations.
Dislocation at either site can affect the movement of the wrist and elbow joints.
It is recommended to clarify the diagnosis first before proceeding with further treatment.
Thank you.
Reply Date: 2016/03/25
More Info
After a truck collision, experiencing elbow pain can be concerning, especially when it affects your daily activities and work. Based on your description, it seems that you may be dealing with a condition related to the ulnar collateral ligament or possibly an issue with the ulnar nerve, which runs along the inner side of the elbow. The term "鬆了" (loosening) likely refers to a sprain or strain of the ligament that stabilizes the elbow joint, which can occur during trauma.
Diagnosis and Understanding Your Condition
When your doctor mentioned that something was "loose," they might have been indicating that the ligament supporting your elbow joint has been injured. This can lead to instability in the joint, resulting in pain during certain movements, especially when you try to extend or rotate your wrist. The ulnar collateral ligament is crucial for stabilizing the elbow during activities that involve lifting or throwing, which could explain the discomfort you're feeling when performing tasks that require strength.
Importance of Imaging
While your doctor was able to make an initial diagnosis through physical examination, it is often advisable to obtain imaging studies such as X-rays or an MRI to rule out any fractures or more serious injuries. X-rays can help identify any bone-related issues, while an MRI can provide a detailed view of the soft tissues, including ligaments and tendons. If you have not yet had these imaging studies, it would be prudent to discuss this with your healthcare provider.
Treatment and Recovery
The treatment plan your doctor suggested, which includes wearing a wrist brace and engaging in rehabilitation exercises, is standard for ligament injuries. The brace helps immobilize the joint, allowing the injured tissues to heal without further strain. Rehabilitation typically involves physical therapy, which focuses on restoring range of motion, strength, and stability to the elbow.
The duration of recovery can vary widely depending on the severity of the injury. Mild sprains may heal within a few weeks, while more severe injuries could take several months. During this time, it's essential to follow your physical therapist's guidance closely. They will likely provide you with specific exercises to strengthen the muscles around the elbow and improve flexibility.
Managing Pain and Discomfort
In addition to wearing a brace and participating in physical therapy, you can manage pain and discomfort through several methods:
1. Rest: Avoid activities that exacerbate your pain, especially lifting heavy objects.
2. Ice Therapy: Applying ice to the affected area can help reduce swelling and alleviate pain.
3. Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.
4. Gradual Return to Activity: Once your pain decreases, gradually reintroduce activities, ensuring you do not overexert yourself.
Precautions and Considerations
Given that your affected arm is your dominant hand, it’s crucial to be mindful of how you use it during recovery. Here are some additional tips:
- Modify Activities: When lifting or carrying items, use your other hand or employ tools that can help distribute weight more evenly.
- Listen to Your Body: If you experience increased pain during certain activities, stop and rest. Pushing through pain can lead to further injury.
- Follow Up with Your Doctor: Regular follow-ups are essential to monitor your recovery progress and make any necessary adjustments to your treatment plan.
In conclusion, while your current treatment plan of using a brace and engaging in rehabilitation is appropriate, obtaining further imaging studies could provide more clarity on your injury. Recovery may take time, but with proper care and attention, you can regain strength and functionality in your elbow. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.
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