Hi all
This is a very interesting case. A girl patient aged 15 years is diagnosed with post septic sequalae right elbow with stiffness in extension.

Clinical findings - Post septic ankylosis right elbow. Sinus healed adhered to bone. No movement in elbow, distal neurovascular status ok.

X-ray showed destroyed elbow ( Tubercular)

Treatment given- Arthrolysis of elbow with V-Y plasty of triceps( post approach).

Had 3 days stay in hospital.Advise on discharge was to take care of slab & do active finger movements. Follow up showed clean wounds & movement with little pain.
This was done in Nov,2004. Physiotherapy started in Jan,2006, parents complained of aggressive PT done ( no more knowledge) leading to supracondylar fracture of right humerus. Had closed reduction & POP applied for 2 months.Union of bone, now the patient is coming to me for physiotherapy.

Slight swelling, Day 1- no movement in elbow, elbow in postion of 90
I started with PWB, active movements of ebow & passive flexion + Hold relax PNF techniques.
Day 5- 10 degree elbow extension & 5 degree flexion.
What i aim is that she starts to eat comfortably + can take her hand to perenium.

I want suggestions what PT can be given to her. views from all will be appreciated.

Thanx

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