Elbow Debridement/Release
Elbow Debridement / Release (Arthroscopic / Open)
Indications: Stiff +/- arthritic elbow joint
| In-patient from day 1 post op. |
|
| Out-patients 2-Weeks |
|
| Milestones Week 2 | Passive ROM 75% of pre-op level |
| Week 6 | Active ROM 75% of pre-op level Flexion splint discarded when full flexion achieved or AROM has reached a plateau. Extension night splint is worn for 3 months post-op. (Caring for your Splint) |
Any acute loss of movement should be referred to the next Upper Limb clinic
Patient Exercises:
Repeat following exercises every two hours throughout the day.
Elbow Extension Exercise
Elbow Extension Exercise - With upper arm supported on wedge fully straighten elbow. To further increase extension a small weight can be used on the wrist or in the hand. To help the muscles relax a heat-pack can be applied to the front of the elbow (see instructions on heat). Hold this stretch for 5-10 minutes.
Forearm Rotation Exercise
With your elbow tucked into your side, turn your palm down. Hold for 10 seconds, repeating 10 times.
With your elbow tucked into your side, turn your palm up. Hold for 10 seconds, repeating 10 times.
Strengthening
Hold a theraband with opposite hand at shoulder level and pull theraband away from body with affected hand until elbow is straight.
Hold for 10 seconds, repeat 10 times.
Return to functional activities
Driving After 3 weeks
Swimming Breaststroke: 3 weeks
Golf 2 Months
Lifting Light lifting can begin at 3 weeks. Avoid lifting heavy items for 6 months.
Return to work Sedentary job: 2 weeks
Manual job: Guided by Surgeon
For more information please contacttherapists@shoulderdoc.co.uk
Splint Care
DO NOT DRIVE WHILST WEARING THE SPLINT UNLESS THIS HAS BEEN AGREED WITH YOUR INSURANCE COMPANY.
DO NOT WEAR THE SPLINT WHILST OPERATING MACHINERY UNLESS IT HAS BEEN MADE FOR THIS PURPOSE.
1. It is important to wear the splint at the times indicated by the therapist.
2. DO NOT alter the splint in any way.
3. DO NOT leave the splint where it will get too hot as the material may melt (i.e. sun, radiator, hot water)
4. The splint and straps may be washed in Lukewarm soapy water.
5. If there is any redness, swelling, numbness, discomfort or increased pain contact the therapist or clinic immediately. If this occurs out of office hours contact your GP immediately or attend your local Accident & Emergency Department.
