Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury
10.3969/j.issn.1006-9771.2024.01.014
- VernacularTitle:术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果
- Author:
Lihua LUO
1
;
Yusheng WANG
1
;
Jianfeng LI
2
;
Jige DONG
1
Author Information
1. Department of Rehabilitation, Wangjing Hospital of China Academy of Chinese Medicine Sciences, Beijing 100102, China
2. Rehabilitation Medicine Department, the Second Rehabilitation Hospital of Beijing, Beijing 100038, China
- Publication Type:Journal Article
- Keywords:
children;
youth;
supracondylar fracture;
ulnar nerve injury;
elbow joint dysfunction;
early comprehensive rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(1):105-110
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunction and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury. MethodsA total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after operation were selected from January, 2016 to December, 2021 in Wangjing Hospital, which were randomly divided into control group (n = 24) and treatment group (n = 25). The control group accepted wax therapy and acupuncture, and the treatment group accepted medicine fumigation, joint mobilization and electromyographic biofeedback, for twelve weeks. They were assessed with The Hospital for Special Surgery Elbow score (HSS) and Medical Research Neurotrauma Society Report (MCRR) before and after treatment. ResultsAfter treatent, the HSS scores increased in both groups (|t| > 8.345, P < 0.001). The HSS score was significantly higher in the treatment group than in the control group (t = 4.536, P < 0.001). The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group (t = 3.717, P < 0.05). The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group (χ2 = 5.975, P < 0.05). ConclusionEarly postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.
