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.
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