(11) Elbow sprain
The elbow joint is composed of the lower end of the humerus, the small head of the radius, and the olecranon of the ulna, which is a composite joint. The brachioradial joint, humeral-ulnar joint, and proximal ulnar ulnar joint share a joint capsule, and the radial collateral ligament and ulnar collateral ligament are strengthened on both sides, respectively, and radial sprains are more common.
Most of the forearm on the affected side was active or passive before the injury. Local pain, tenderness may occur, flexion and extension of the affected elbow is mostly unimpeded, and lateral movement is limited, and pain is localized.
1. Methods and steps
See Figure 2-2-11.
Figure 2-2-11 Massage for elbow sprain
(1) The patient is in a sitting position with the forearm slightly flexed. The surgeon gently rubs the affected elbow joint with the thumb of the right hand for 3~5 minutes. The intensity of the manipulation is gradually increased according to the degree that the patient can tolerate, as shown in this figure (1).
(2) The surgeon uses his thumb to rub the patient's affected side Quchi, Shousanli and Hegu acupoints for 3~5 minutes, see Figure (2).
(3) The surgeon holds the patient's navel on the affected side with one hand, and gently presses the Quchi acupoint on the affected side with the thumb of the other hand, and assists the patient to do the flexion and extension movements of the affected limb for 1~3 minutes, as shown in this figure (3).
(4) The surgeon clamps the elbow joint of the affected side with the palms of both hands, rubs the affected area relatively hard, and moves up and down at the same time. The operation should be symmetrical with both hands and the upper limb on the affected side should be appropriately flexed and extended, as shown in this figure (4).
2. Precautions
(1) The elbow joint is prone to fracture, especially in trauma patients, more attention should be paid to the diagnosis of bone lesions.
(2) During treatment, it is best to flex the elbow of the upper limb on the affected side, so that the upper arm and the forearm are about 90°, which is conducive to differential diagnosis.
(3) The upper limb on the affected side should avoid weight-bearing and cold.
(4) In the acute stage, exercise as little as possible, and do not repeat sprains.
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