Elbow injury in a child over one year old?
Hello, doctor.
My daughter is over one year old and fell from the bed on February 17th this year, injuring her elbow.
It was diagnosed with a small fracture, bone displacement, and dislocation, and she was put in a cast.
She is currently undergoing rehabilitation.
I am worried that she may not fully recover.
What else can I do to help her? When I try to bend her elbow, it seems to be stuck at a certain angle, and she appears to be in pain and resistant.
I am extremely concerned because the rehabilitation only involves electrical therapy and heat packs, and sometimes we try to gently bend her arm, but she resists.
Will these treatments be sufficient to help my child? I am really a very worried mother.
😭😭😭
Mei Mei, 20~29 year old female. Ask Date: 2016/05/03
Dr. Shi Guozheng reply Orthopedics
Children over one year old typically heal from fractures in about six weeks.
After that, rehabilitation is necessary to return to normal function, so continuous rehabilitation therapy is essential.
Reply Date: 2016/05/03
More Info
I'm sorry to hear about your daughter's elbow injury. It's understandable for you to feel worried as a parent, especially when it comes to the health and recovery of your child. Here are some tips and insights that may help you support her recovery process.
Understanding the Injury
Your daughter has suffered a significant injury, including a small fracture and dislocation of the elbow. Such injuries can take time to heal, especially in young children whose bones and joints are still developing. The healing process can vary based on the severity of the injury, the child's age, and how well the treatment plan is followed.
Recovery Timeline
Typically, fractures in children can take anywhere from 3 to 6 weeks to heal, depending on the type and location of the fracture. Since your daughter has a cast and is undergoing rehabilitation, it's crucial to follow the doctor's recommendations closely. Regular follow-ups with the orthopedic specialist will help monitor her progress and make any necessary adjustments to her treatment plan.
Rehabilitation and Therapy
Rehabilitation is essential for restoring function and mobility in the elbow. While it may seem limited to electrical therapy and heat treatment, these modalities can help reduce pain and inflammation, promoting healing. Here are some additional strategies to consider:
1. Gentle Range of Motion Exercises: Once the doctor gives the green light, gentle range of motion exercises can help prevent stiffness. You can work with a pediatric physical therapist who specializes in treating young children. They can provide tailored exercises that are safe and effective.
2. Play-Based Therapy: Since your daughter is only a year old, incorporating play into her rehabilitation can make the process more enjoyable. Use toys that encourage her to move her arm gently, such as soft balls or toys that require reaching and grasping.
3. Positive Reinforcement: Encourage her during therapy sessions. Celebrate small victories, like bending her elbow a little more or moving her arm without discomfort. Positive reinforcement can help reduce her resistance to therapy.
4. Pain Management: If she seems to be in pain during therapy, consult with her doctor about appropriate pain management strategies. Sometimes, adjusting the timing of therapy sessions or using pain relief methods can make a significant difference.
5. Patience and Understanding: Children may not understand why they need to do certain exercises, and they may resist. It's essential to be patient and gentle. Allow her to express her feelings and reassure her that it's okay to feel discomfort but that it will get better.
Nutrition and Overall Health
Ensure that your daughter is getting a balanced diet rich in calcium and vitamin D, which are crucial for bone health. Foods like dairy products, leafy greens, and fortified cereals can support her recovery. Staying hydrated is also essential.
Monitoring Progress
Keep a close eye on her progress. If you notice any unusual swelling, increased pain, or changes in her ability to move her arm, contact her healthcare provider immediately. Regular check-ups will help ensure that her recovery is on track.
Emotional Support
It's natural for you to feel anxious about your daughter's recovery. Consider talking to other parents who have gone through similar experiences or seeking support from a counselor if your worries become overwhelming. Your emotional well-being is also important as you support your daughter.
Conclusion
In summary, while the recovery process may seem daunting, with proper care, rehabilitation, and support, your daughter can heal and regain full function of her elbow. Stay in close contact with her healthcare team, and don't hesitate to ask questions or express concerns. Your involvement and encouragement will play a vital role in her recovery journey.
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