Institute for Sports Medicine Frankfurt Main

1. Risk kinds of sport:

Inlineskaten, ice running, art doing gymnastics, roll art run, American football

2. Anatomy:

Articulated connection between upper and lower arm

3. Function:

Possible movements: Diffraction and aspect ratio, as well as turn of the lower arm.
Injury: Break one the bone taken part in the ell joint

4. Injury mechanism:

- Fall on the stretched arm

5. Symptoms:

- Swelling
- painful movement restriction
- Bluterguss
- Pain when resting on the arm
- if necessary bad position of the joint
Other pain causes:
- Upsetting of the joint
- Dislocating a bone from the joint
- Pulling or bruise of the joint
- Cap, volume injuries of the elbow joint

6. First measures:

- Cooling
- Indulgence
- Immediate visiting a physician or a hospital
- Splinting

7. Diagnostics:

- Collateral injuries must be excluded, like e.g. volume tears or container and nerve injuries in each case
- Roentgen (before and after setting-up of the break
- If necessary nuclear spin tomography or computer tomography
- If necessary additional investigations by a neurologist

8. Therapy:

a) Conservative therapy
- Reposition (furnish) as fast as possible after the accident, if necessary in Narkose by the physician
- Immobilizing the arm concerned in a gypsum rail
- Physiotherapie (only under expert guidance), beginning after medical arrangement
- Decongestant, analgetic and anti-inflammatory effective medicines
- With strong painfulness during the rehablitation injections with and without Cortison
- Depending upon findings slow structure of load
b) Operational therapy
In most cases operational setting-up of the break with bolting or wiring necessarily.

9. Physiotherapy:

- Mobilization of the ell joint (first passively, then actively)
- Electrical therapy
- Lymphdrainage
- Stretch and strengthening of the arm musculature
- Purposeful training of structure of muscle
- ISO kinetics

10. Prevention:

- Correct fall technology on the lower arm with bent elbow
- Equipment (treads)
- Set of rules of the kind of sport
- Arbitration/combat judge training break off (in time)

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