73 -7 (81) 2025 - Eranov Sh.N., Mavlyanova Z.F. - RESULTS OF PHYSICAL REHABILITATION AT POST-TRAUMATIC CONTRACTURES OF THE ELBOW JOINT IN CHILDREN

RESULTS OF PHYSICAL REHABILITATION AT POST-TRAUMATIC CONTRACTURES OF THE ELBOW JOINT IN CHILDREN

Eranov Sh.N. - Samarkand State Medical University

Mavlyanova Z.F. - Samarkand State Medical University

Resume

There are presented the results of a comprehensive study to assess the effectiveness of physical and rehabilitation methods in the treatment of elbow contractures in children in the article. There was carried out a retrospective cross-sectional analysis of data of 52 children with post-traumatic contracture of the elbow joint, limited range of motion, pain syndrome, reduced stability in the joint and / or difficulties in performing daily activities to achieve this goal. All patients after primary surgical or conservative intervention underwent an outpatient course of appropriate rehabilitation therapy depending on the clinical picture. In children with post-traumatic contracture of the elbow joint, after completion of the rehabilitation course, compared with the state before its starting, was recorded a reliable improvement in all analyzed movements, including: flexion in the elbow joint (p = 0.00001), extension in the elbow joint (p = 0.00001), pronation of the forearm (p = 0.00001), supination of the forearm (p = 0.00000), as well as an improvement in the Flynn scale (p = 0.00000). According to the data obtained, a combination of various physical procedures, correctly applied and adapted to a specific clinical situation, can significantly affect the restoration of elbow joint mobility

Key words: children, elbow joint, rehabilitation, goniometry, Flynn scale, fracture, contracture

First page

389

Last page

396

For citation:Eranov Sh.N., Mavlyanova Z.F. - RESULTS OF PHYSICAL REHABILITATION AT POST-TRAUMATIC CONTRACTURES OF THE ELBOW JOINT IN CHILDREN//New Day in Medicine 7(81)2025 389-396 https://newdayworldmedicine.com/en/new_day_medicine/7-81-2025

List of References

1. Houshian S, Mehdi B, Larsen MS. The epidemiologyof elbow fracture in children: Analysis of 355 fractures, with special reference to supracondylar humerus fractures. J OrthopSci 2001;6:312-5.
2. Kuhn MA, Ross G. Acute elbow dislocations. Orthop Clin North Am 2008;39:155–61
3. Ogden JA. The humerus, in Skeletal Injury in the Child. New York: Springer-Verlag, 2000: 456-541.
4. Emery KH, Zingula SN, Anton CG, et al. Pediatric elbow fractures: a new angle on an old topic. Pediatr Radiol 2016;46:61–6
5. Hildebrand KA. Posttraumatic elbow joint contractures: defining pathologic capsular mechanisms and potential future treatment paradigms. J Hand Surg Am 2013; 38:2227–2233
6. Sun C, Zhou X, Yao C, et al. The timing of open surgical release of post-traumatic elbow stiffness: a systematic review. Medicine 2017;96:9121
7. Piper SL, Lattanza LL, Shen TS, et al. Open surgical release of posttraumatic elbow contracture in children and adolescents. J Pediatr Orthop 2017;39:241–246
8. Muchow RD, Riccio AI, Garg S, Ho CA, Wimberly RL. Neurological and vascular injury associated with supracondylar humerus fractures and ipsilateral forearm fractures in children. J Pediatr Orthop 2015;35(2):121-125
9. Howard A, Mulpuri K, Abel MF, et al. The treatment of pediatric supracondylar humerus fractures. J Am Acad Orthop Surg 2012;20(5):320-327
10. Flynn J.C, Mathews J.G, Benoit R.L. Blind pinning of displaced supracondylar fractures of the humerus in children. Sixteen year’sexperience with long-term follow-up. J. Bone & Joint Surg. 1974;56A:263–272.

    file

    download