![]() Articular cartilage is a smooth slippery material that is hard wearing and well adapted to protecting the bone surfaces that move on each other inside the joint. The joint surface of the humerus is covered by articular cartilage. This joint has cavities, grooves and ridges in it to accommodate the ends of the other bones coming from the forearm. You can feel these two condyles as the two bumps of bone on either side of the elbow joint, the medial epicondyle and the lateral epicondyle. These columns support the condyles of the joint. The tube-shaped shaft divides into two columns just above the joint. The lower end of the humerus has a complex shape. This allows us to position the hand into supination (the hand palm up) or into pronation (palm down). The radius can spin in this joint allowing the forearm to rotate. The second joint is between the upper ends of the radius and ulna. There are actually two different joints at the elbow the first is a hinge joint between the humerus on the one side and the combination of the radius and ulna on the other. The bones that join to form the elbow joint include the humerus (upper arm bone) and the radius and ulna (the two bones of the forearm). What structures are most commonly injured? what Healing Hands Physical Therapy’s approach to rehabilitation is.how health care professionals diagnose these fractures.As a result, these injuries must be treated with care to achieve the best possible long-term outcome. Fractures of the bones that make up the elbow prevent normal movement at the joint and therefore limit the function of the hand, wrist, and forearm. Together these functions allow us to position the hand in space to perform all its unique and skillful actions. It also allows rotation of the hand and forearm. It serves as a hinge joint between the upper and lower parts of the arm and allows movements for activities like feeding and lifting. The elbow is a very important region of the arm. Welcome to Healing Hands Physical Therapy's patient guide on elbow fractures. Statistical data in this article was reviewed by the AAOS Department of Research and Scientific Affairs.Physical Therapy in Ann Arbor for Elbow Fractures Your doctor may recommend follow-up visits for up to one year to ensure that growth is proceeding normally. If the fracture disrupts the growth plate at the end of the bone, it could affect the development of the bone. To allow the bones to safely regain their normal strength, the child should avoid playing on playground structures, such as monkey bars, for 3 to 4 weeks after the cast is removed. This stiffness will go away on its own, usually without the need for physical therapy.įor a short period of time, the forearm bones may be weaker due to immobilization in the cast. When the cast is removed, the wrist and elbow joints may be stiff for 2 to 3 weeks. A more serious injury, such as a Monteggia fracture, may need to be immobilized for 6 to 10 weeks. A stable fracture, such as a buckle fracture, may require 3 to 4 weeks in a cast. The length of time the cast is worn will vary depending on the severity of the fracture. Because the growth plate helps determine the future length and shape of the mature bone, this type of fracture requires prompt attention. In most cases, this type of fracture occurs in the growth plate of the radius near the wrist. Also called a "physeal" fracture, this fracture occurs at or across the growth plate. This is a very severe injury and requires urgent care. There is usually a fracture in the ulna and the top (head) of the radius is dislocated. This injury affects both bones of the forearm. There is usually a displaced fracture in the radius and a dislocation of the ulna at the wrist, where the radius and ulna come together. The fracture extends through a portion of the bone, causing it to bend on the other side. The fracture is across the upper or lower portion of the shaft of the bone and does not affect the growth plate. This is a stable fracture, meaning that the broken pieces of bone are still in position and have not separated apart (displaced). ![]() ![]() The topmost layer of bone on one side of the bone is compressed, causing the other side to bend away from the growth plate. There are several types of forearm fractures in children: ![]()
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