Post-Surgery Elbow Recovery: Limitations and Care Tips - Orthopedics

Share to:

Olecranon of the left elbow


Hello: I underwent left olecranon surgery (with steel pin insertion) on February 9th.
On the sixth postoperative day, I noticed that my palm cannot fully rotate upwards (it remains facing upwards), and I can only rotate it from palm down to palm up by a maximum of 90 degrees.
I would like to know if this is a normal phenomenon after surgery.
Additionally, should I keep my arm in a sling at all times after the surgery, or should I occasionally remove it to allow the arm muscles to relax? Thank you very much for your response!

Ye Tongxue, 20~29 year old female. Ask Date: 2010/02/15

Dr. Wang Shouji reply Orthopedics


Student Yeh: After the surgery for an olecranon fracture with the placement of a steel pin, it is important to check whether the proximal radioulnar joint is stabilized.
If it is not, this is generally a temporary phenomenon.
If there is no significant instability, elbow joint mobility should not be particularly affected.
It is advisable to consult your attending physician regarding the follow-up treatment plan.
Wishing you a speedy recovery.

Reply Date: 2010/02/15

More Info


Post-surgery recovery, especially after an elbow surgery like the one you described, can be a complex process that requires careful management and understanding of your limitations. It’s important to recognize that some degree of limitation in movement is common after such procedures, particularly in the early stages of recovery.


Understanding Limitations
After your surgery on February 9th, it is not unusual to experience difficulty in fully rotating your forearm, especially if you are only able to achieve a 90-degree rotation from palm down to palm up. This limitation can be attributed to several factors:
1. Surgical Trauma: The procedure itself can cause swelling and inflammation around the joint, which may temporarily restrict movement.

2. Soft Tissue Healing: The muscles, tendons, and ligaments around the elbow may need time to heal and regain their flexibility and strength.

3. Pain Management: Pain can also limit your willingness to move the joint fully, as you may subconsciously avoid movements that cause discomfort.


Is This Normal?
Yes, experiencing limited range of motion post-surgery is a normal phenomenon. However, it is crucial to monitor your progress. If you notice that your range of motion does not improve over time or if you experience increased pain, it is essential to consult your surgeon or physical therapist.


Care Tips
1. Immobilization: It is common to use a triangular sling or other forms of immobilization post-surgery. This helps to stabilize the elbow and allows for initial healing. However, it is generally recommended to remove the sling periodically to allow for blood circulation and to prevent stiffness. You should follow your surgeon's specific instructions regarding how long to keep the arm immobilized.

2. Gentle Movement: Once you are cleared by your healthcare provider, gentle range-of-motion exercises can be beneficial. These exercises should be performed within the limits of your pain and discomfort. Gradually increasing your range of motion can help prevent stiffness.

3. Physical Therapy: Engaging in physical therapy is often recommended after elbow surgery. A physical therapist can provide you with a tailored rehabilitation program that focuses on restoring your range of motion, strength, and function. They can also guide you on how to safely perform exercises and activities.

4. Pain Management: Managing pain effectively is crucial for recovery. Follow your doctor's recommendations regarding pain medications and consider using ice packs to reduce swelling and discomfort.

5. Follow-Up Appointments: Regular follow-ups with your surgeon are important to monitor your healing progress. They can assess your range of motion and make necessary adjustments to your rehabilitation plan.


Conclusion
In summary, while some limitations in movement are expected after your elbow surgery, it is essential to engage in a structured rehabilitation program and maintain open communication with your healthcare team. They can provide you with the best advice tailored to your specific situation, ensuring that you recover effectively and regain full function of your elbow. Remember, recovery is a gradual process, and patience is key. If you have any concerns about your recovery or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

Similar Q&A

Minimally Invasive Surgery for Elbow Fractures: Recovery Insights

Hello Dr. Wang: I recently suffered a fracture in my left elbow due to a car accident. I have a long scar from the surgery that I find unsightly. I would like to ask if there is a way to perform minimally invasive surgery for an elbow fracture? After completing rehabilitation, wi...


Dr. Ye Qingnian reply Orthopedics
For an elbow fracture, the surgical approach depends on the location and severity of the fracture. If the arm is not extending fully, it is important to start rehabilitation as soon as possible; the longer the delay, the more difficult recovery will be.

[Read More] Minimally Invasive Surgery for Elbow Fractures: Recovery Insights


Understanding Elbow Flexion Issues After Fracture Surgery

Hello doctor, I fell at work on August 26 and sustained a fracture of the right radius. Following the doctor's advice, I underwent an MRI, which revealed small fragments near the ulnar area at the elbow. The doctor informed me that a tendon was torn and that I would need sur...


Dr. Shi Guozheng reply Orthopedics
A 90-degree flexion of the elbow joint is insufficient; continued rehabilitation therapy for two more months is necessary for improvement. The plate may not need to be removed.

[Read More] Understanding Elbow Flexion Issues After Fracture Surgery


Managing Elbow Dislocation Recovery: Overcoming Pain and Stiffness

Hello, on March 16, I dislocated my right elbow while exercising. I was treated in the emergency department and had a cast applied at a 120-degree angle. Two weeks later, the cast was removed (X-rays indicated it had healed). However, my elbow still has limited mobility (it can o...


Dr. Shi Guozheng reply Orthopedics
Based on your description, it is possible to experience limited joint mobility two weeks after an elbow dislocation. Continuing rehabilitation therapy may help improve this condition; however, it is essential to first confirm that the joint is properly reduced. It may be necessar...

[Read More] Managing Elbow Dislocation Recovery: Overcoming Pain and Stiffness


Post-Ulnar Nerve Release: When to Start Stretching Exercises?

Is it possible to perform a stretching exercise with a wrench on the fourth day after undergoing ulnar nerve release surgery due to elbow joint stiffness?


Dr. Jiang Junyi reply Neurology
According to your description, a typical ulnar nerve surgery involves making an incision along the direction of the ulnar nerve to decompress it from the cubital tunnel. After the surgery, a splint should be applied to immobilize the elbow at a 45-degree angle for three to four w...

[Read More] Post-Ulnar Nerve Release: When to Start Stretching Exercises?


Related FAQ

Elbow Dislocation

(Orthopedics)

Elbow Fracture

(Orthopedics)

Elbow

(Rehabilitation)

Elbow

(Orthopedics)

Postoperative

(Orthopedics)

Radial And Ulnar Fracture

(Orthopedics)

Post-Clavicle Fracture Surgery

(Orthopedics)

Post-Fracture Rehabilitation

(Orthopedics)

Arm

(Surgery)

Ankle Fracture Recovery

(Orthopedics)