Elbow Rehabilitation

Elbow Ligament Stabilisation

Sling

When will I go home?

What can I do?

What can’t I do?

Elbow brace 8 weeksYou will be discharged on the day after the operationGentle elbow movement under physiotherapy supervisionNo uncontrolled movement or lifting

Acute phase (0-4 weeks)

Goals

  • Protect healing tissue
  • Decrease pain and inflammation
  • Stop muscle atrophy
  • Protect graft site to allow healing

Rehabilitation

  • Brace: posterior orthosis at 90 degrees elbow flexion
  • Initiate shoulder range of movement
  • Start elbow range of movement as tolerated in a flexion extension axis from week 2
  • No forearm supination beyond neutral for 3–6 weeks

Intermediate phase (4-8 weeks)

Goals

  • Gradual increase to full range of movement
  • Promote healing of repaired tissue
  • Regain and improve muscle strength
  • Restore full function of graft site

Rehabilitation

  • Brace: elbow hinged brace 60–100 degrees (gradually increase elbow flexion and increase extension 15 degrees at 2 week intervals)
  • Begin range of movement with neutral or pronated forearm
  • Begin light resistance exercise for arm (1 kilogram maximum)
  • Wrist curls, extension
  • Elbow extension–flexion
  • Progress shoulder program emphasize rotator cuff and scapular strengthening
  • Initiate shoulder strengthening with light resistance

Late phase (>8 weeks)

Rehabilitation

  • Brace: discontinue hinged brace by end of week 8
  • Initiate eccentric elbow flexion and extension
  • Progress elbow range of movement
  • Restore elbow stability
  • Ensure maintenance program continued for range, strength, proprioception and function

Guidelines for return to functional activities

Driving

Lifting

Swimming

Golf

3 months4 months8 weeks6 months

Matthan Mammen
ELBOW, WRIST AND HAND SPECIALIST

Mr. Matthan Mammen

MS, FRACS (Orth)

Mr. Matthan Mammen is an internationally qualified orthopaedic surgeon, who is a Fellow of the Royal Australasian College of Surgeons and the Australian Orthopaedic Association.

Shoulder Bone IconShoulder Bone Icon

Shoulder Joint

Elbow IconElbow Icon

Elbow Joint

Wrist IconWrist Icon

Wrist Joint

Hand IconHand Icon

Hand Joints

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