Pain medicine case reports · 2022
Prolotherapy for the Treatment of Postoperative Elbow Joint Stiffness in an Old Unreduced Elbow Dislocation Treated With an Open Reduction Surgery: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lukman Rudy, Rahman Alif Noeriyanto, Herman Herry
Аннотация
BACKGROUND: The elbow is the conduit of upper extremity actions, delivered through the shoulders to the hand. Elbow problems greatly affect daily function and quality of life of the sufferers. Here we report the use of prolotherapy as an adjunct to physiotherapy to provide a speedy range of motion (ROM) recovery in an army officer affected by neglected old unreduced elbow dislocation, which was reduced with an open reduction surgery and internal fixation of his elbow. The patient provided HIPAA compliant consent for the inclusion of their clinical information in this report.
METHODS: We used the Hackett-Hemwall technique as described in the literature. A total of 15 mL solution of 5% dextrose and 0.2% lidocaine is injected in the lateral epicondyle humerus and extensor carpi radialis brevis tendon proximally, also tender areas around the elbow about 0.5 mL to 1 mL per injection.
RESULTS: Eight sessions of prolotherapy were administered; 2 months after the last session, ROM of the elbow was 500 to 1350 and the Visual Analog Scale score decreased from 7 to 1. Patient was satisfied with the result.
CONCLUSIONS: Treating postoperative stiffness is one of the utmost precautions for postsurgical management. Particularly for chronic elbow dislocation, prevention of stiffness needs to be more progressive to treat the condition. Our case presented one alternative management where prolotherapy may provide a satisfactory outcome for pain and assist to speed recovery in a subacute surgical patient.
METHODS: We used the Hackett-Hemwall technique as described in the literature. A total of 15 mL solution of 5% dextrose and 0.2% lidocaine is injected in the lateral epicondyle humerus and extensor carpi radialis brevis tendon proximally, also tender areas around the elbow about 0.5 mL to 1 mL per injection.
RESULTS: Eight sessions of prolotherapy were administered; 2 months after the last session, ROM of the elbow was 500 to 1350 and the Visual Analog Scale score decreased from 7 to 1. Patient was satisfied with the result.
CONCLUSIONS: Treating postoperative stiffness is one of the utmost precautions for postsurgical management. Particularly for chronic elbow dislocation, prevention of stiffness needs to be more progressive to treat the condition. Our case presented one alternative management where prolotherapy may provide a satisfactory outcome for pain and assist to speed recovery in a subacute surgical patient.