Mechanism of Dysfunction

Post-traumatic deformity, is generally caused by a post fracture injury at the distal level of the humerus resulting in one side of the bone to become shorter predisposing to this angulation deformity

Joint Misalignment, is caused by a rotational distal humeros pattern of dysfunction due to direct fall or repetitive elbow arm activity.

Assessment Protocol

The entire upper extremity biomechanical chain must be evaluated as per the neurological and mechanical influences of the spine, shoulder and hand.

Clinical assessment to identify the key joint dysfunctions of the elbow following by two set of X-ray analysis.

Anterior – Posterior (AP) X-ray Elbow view is essential to check the relationship of the elbow joint mechanics and to rule out post traumatic and congenital abnormalities.

Lateral Xray Elbow view is important to analyse the main humerus misalignment that contributes to this condition.

Treatment protocol

Joint misaligned dysfunctional:

Specific elbow adjustments followed by a rehabilitation regime to strengthen the entire soft tissue  support of the elbow. In addition, application of tape and may be needed as part of the early rehab program.

Depending on level of misalignment and chronicity of the deformity a minimum of 6 weeks up to 12 weeks of treatment care may be necessary to resolve this deformity.