Hi all

I have just recently graduated & dont have much experience so I thought I would get some thoughts & opinions on this case....

Male 21yrs
Posterior elbow dislocation (occured during basketball)- was in cast for 4 weeks
No fracture was present
Did not get Wikipedia reference-linkMRI scan so exact extent of damage to ligaments is unkown
Now 1 week out of cast
Elbow extension at approx 160-170 degrees (which I think is good @ this stage?)
Minor atrophy of extensors/flexors & bicep

Just had 1st treatment session which consisted of:

Deep tissue massage to the level of tolerence of muscles & attachments (extensors, flexors, bicep & tricep)
Gentle passive elbow ROM & PNF work
Followed with 20min ice

Exercises prescribed
- Wrist curls (2kg 3x15)
- Elbow ROM (2kg 3x15)
- Bouncing basketball against wall 30sec x 3 (endurance..)
- Extensor stretch 3 x 30sec

Told him to perform exercises every 2nd day & ice following sessions.

Does this all sound okay?
I know its still very early but I am worried we wont get full extension back..? are there specific methods to regain full extension?
I know it differs from case to case but how long is it once the cast comes off till return to sport? approx 5-6 weeks?

Any other ideas regarding treatment modalities, prescribed exercises etc would be greatly appriciated

Thanks in advance

Bobby
SPORTS THERAPIST

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