The role of orthoses in the management of elbow joints in persons with haemophilia.
The elbow joint is extremely prone to haemarthroses, and when these occur the elbow requires support and rest. Supporting the limb with a simple collar-and-cuff sling, a triangular bandage either with or without a shoulder immobilization device will provide an analgesic effect without adding an unnecessary heavy orthosis. As the swelling subsides and the pain lessens a dynamic orthosis aids in the support and compression. When considering functional branching of the elbow joints there are a number of basic principles to be followed. One requires to consider problems of orthosis suspension, two dimensional motion and stabilization in the functional range of motion. This article provides the rationale for the special needs of persons with haemophilia who suffer from involvement of their elbow joints.
Heim
M
M
Department of Orthopaedic Rehabilitation, Tel Hashomer Hospital, Israel.
Wershavski
M
M
Martinowitz
U
U
Varon
D
D
Checick
A
A
Azaria
M
M
D003286:Contracture / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004550:Elbow / Q000503:physiopathology; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D009989:Orthotic Devices