Radial head fracture (Mason III)
Hello, doctor.
I had surgery on May 2nd, where a steel plate and screws were inserted to stabilize my elbow.
The swelling has subsided, but I am still experiencing some issues.
I have read many posts about similar fractures, but for the past few days, I have been feeling tightness in my elbow, which might be cramps.
It hurts a lot when I bend or move my elbow, and I currently cannot straighten it.
I would like to ask how to handle this situation.
Additionally, will the steel plate affect my rehabilitation? I am unable to fully extend my arm and can only bend it to 90 degrees.
I also cannot rotate my wrist.
Is this normal? My attending physician said I could start rehabilitation exercises to straighten and bend my elbow on my own, but I have not been able to make progress, and the area around the plate feels very tight.
Is this also normal? Thank you, doctor!
Mr. Su, 30~39 year old female. Ask Date: 2017/06/22
Dr. Shi Guozheng reply Orthopedics
After elbow joint fracture surgery, it is common to experience poor joint mobility; therefore, continuous rehabilitation is essential.
Applying heat before rehabilitation can be beneficial, and gradually engaging in exercises will lead to improvement.
Reply Date: 2017/06/22
More Info
Mason III elbow fractures are complex injuries that often require surgical intervention, such as the insertion of plates and screws for stabilization. Recovery and rehabilitation from such fractures can be challenging, and it is essential to understand the healing process and the rehabilitation strategies that can aid in recovery.
After surgery, it is common to experience swelling and discomfort in the elbow area. The sensation of tightness or cramping that you are feeling could be due to several factors, including muscle spasms, inflammation, or the healing process itself. It is crucial to differentiate between normal post-operative discomfort and signs of complications, such as infection or improper healing. If the pain is severe or worsening, it is advisable to consult your orthopedic surgeon for a thorough evaluation.
Regarding your inability to fully extend your elbow, this is not uncommon following a Mason III fracture. The surgical fixation with plates and screws can sometimes lead to stiffness in the joint, which may limit your range of motion. It is essential to engage in a structured rehabilitation program that focuses on gradually improving your range of motion. Your physical therapist can guide you through specific exercises designed to promote flexibility and strength in the elbow joint.
Here are some tips for managing your recovery and rehabilitation:
1. Gentle Range of Motion Exercises: Start with gentle stretching exercises to improve your elbow's flexibility. You can perform passive range of motion exercises, where you use your other hand to assist in bending and straightening the elbow. Gradually increase the intensity as tolerated.
2. Strengthening Exercises: Once you have regained some range of motion, your therapist will likely introduce strengthening exercises. These may include isometric exercises, where you contract the muscles without moving the joint, and eventually progress to resistance exercises using bands or light weights.
3. Pain Management: If you experience significant pain during rehabilitation, consider using ice packs after exercises to reduce inflammation. Over-the-counter pain medications, as advised by your doctor, can also help manage discomfort.
4. Therapeutic Modalities: Your physical therapist may use modalities such as ultrasound, electrical stimulation, or heat therapy to help reduce pain and improve circulation in the affected area.
5. Patience and Consistency: Recovery from a Mason III elbow fracture can take time. It is essential to be patient and consistent with your rehabilitation exercises. Set realistic goals and celebrate small achievements along the way.
6. Monitor for Complications: Keep an eye on any changes in your symptoms. If you notice increased swelling, redness, or warmth around the surgical site, or if you develop a fever, contact your healthcare provider immediately.
Regarding your concern about the steel plate affecting your rehabilitation, it is normal to feel some tightness or discomfort around the surgical site. The plate and screws are meant to stabilize the fracture, but they can also create a sensation of tightness as the surrounding tissues heal. This should improve over time as you regain mobility and strength in your elbow.
In conclusion, while it is normal to experience limitations in range of motion and discomfort following a Mason III elbow fracture, it is crucial to engage in a structured rehabilitation program under the guidance of a qualified physical therapist. With consistent effort and appropriate management, you can work towards regaining full function of your elbow. If you have any concerns about your progress or experience significant pain, do not hesitate to reach out to your orthopedic surgeon for further evaluation and guidance.
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