Elbow sprain

Introduction The elbow sprain is mostly under the action of external force, causing the elbow to have an abnormal range of motion, causing damage to the medial and lateral collateral ligaments of the elbow. Symptoms such as pain, swelling, bruising of the skin, and limited mobility are observed in the elbow joint. Mostly, the indirect external force such as falling, slipping, slipping on the palm of the hand, the elbow joint is in an excessive abduction and straightening position, which can cause an elbow sprain. Clinically, the collateral ligament and tendon of the joint capsule are more common. With the increase of age, the middle and old ages have degenerative changes in joint tissues, and their tissue elasticity is gradually lost, becoming stiff and thus more vulnerable. Repeated overuse of the upper limbs is also a common cause of chronic sprains in the elbow.

Cause

Mostly, the indirect external force such as falling, slipping, slipping on the palm of the hand, the elbow joint is in an excessive abduction and straightening position, which can cause an elbow sprain. Clinically, the collateral ligament and tendon of the joint capsule are more common. After someone has a sprain, it is unscientific to rush to the sputum and hot wounds. The result is that the injury will be more swollen and the pain will be aggravated, and even the bruises will appear in the wound. Should take the cold application, after the hot compress, sputum treatment, can receive good results.

an examination

Related inspection

Joint examination of bone and joint soft tissue CT

Diagnosis: Pain in the elbow, unfavorable or ineffective elbow activity, followed by swelling and red or cyanosis on the elbow.

Check the diagnosis:

1. There is a history of obvious trauma.

2. Joint swelling, pain and dysfunction after injury.

3. In severe cases, the joints were unstable, the collateral ligaments were separated, and the test was positive.

4. Take X-ray films if necessary to eliminate fractures.

Differential diagnosis

Differential diagnosis of elbow sprain :

1. Dislocation of the elbow joint: dislocation of the elbow joint accounts for half of the total dislocation of the four major joints. The lower end of the humerus, which constitutes the elbow joint, is thick inside and outside, and is thin and flat before and after. The lateral side has strong ligament protection, and the front and back of the joint capsule are quite weak. The movement of the elbow joint is mainly flexion and extension. The ulnar coronoid process is smaller than the olecranon. Therefore, the ability to move backwards against the ulna is less than the ability to move forward. Therefore, dislocation of the ankle joint is much more common than dislocation in other directions. Fresh dislocation is not diagnosed with obvious dysfunction after early diagnosis and proper treatment. Failure to get timely and correct treatment in the early stages may lead to severe dysfunction in the late stage. At this time, no matter how careful treatment, it is difficult to restore normal functions, but only to achieve different levels of functional improvement. It occurs mostly in adolescents, and adults and children also occur from time to time. Due to the complex type of elbow dislocation, often combined with other structural injuries in the elbow, attention should be paid to the diagnosis and treatment to prevent misdiagnosis.

2. Elbow syndrome: Elbow syndrome is first proposed by "Feindel and Stratford, also known as "elbow traumatic ulnar neuritis" in the literature, "late elbow numbness", "elbow chronic ulnar nerve" Injury "etc. refers to the symptoms of nerve damage caused by the ulnar nerve being compressed at the ulnar nerve groove of the elbow.

3, the elbow joint can not flex: when the elbow flexion of the elbow muscle or joint dislocation, the elbow joint can not flex, the forearm is straight and drooping state, the upper limb can not do the flexing forearm of the life movements, such as not washing your face, eating and so on.

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