Asunto(s)
Brazo/irrigación sanguínea , Fijación Interna de Fracturas/métodos , Isquemia/etiología , Artes Marciales/lesiones , Fracturas del Hombro/complicaciones , Fracturas del Hombro/cirugía , Adolescente , Arteria Axilar/lesiones , Humanos , Periodo Intraoperatorio , Isquemia/cirugía , Masculino , Nervio Radial/fisiopatología , Neuropatía Radial/etiología , Neuropatía Radial/fisiopatología , Radiografía , Recuperación de la Función , Fracturas del Hombro/diagnóstico por imagenAsunto(s)
Bloqueo Nervioso Autónomo/efectos adversos , Arteria Axilar/lesiones , Plexo Braquial , Síndrome del Túnel Cubital/cirugía , Fascia/lesiones , Hematoma/etiología , Complicaciones Posoperatorias/etiología , Estimulación Eléctrica Transcutánea del Nervio , Anciano , Fascia/irrigación sanguínea , Femenino , HumanosRESUMEN
This paper describes the physiotherapy and occupational therapy used in treating a 74-year-old woman with a left brachial plexus lesion, a break in the axillary artery, dislocation of the acromioclavicular joint, a broken scapula and clavicula, serial left rib fractures, and lacerations on the upper and lower arm. After testing the patient, the following goals were set: reduce pain, soften scar tissue, and improve joint motion, muscle strength, and functionality of the hand. A 12-month outpatient program was used. Various analgesics were used to reduce pain, and a special aid was made to unweight the shoulder and elbow joints. Physiotherapy included kinesiotherapy, audiovisual biofeedback, electrical stimulation, friction massage, and lymph drainage. Occupational therapy included active functional exercises and re-education. As a result of this program, the patient no longer had pain, passive range of motion was close to normal, active motion where present was improved, swelling was reduced, and the hand became functional again. Complex physiotherapy, occupational therapy, and the patient's motivation resulted in the rehabilitation of severe trauma of the hand.