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What are the factors to consider before you do elbow joint mobilisation in a patient with fracture involving the ulna1 pointLocation of FractureDuration since fracture and last x ray reportAge , ORIF Vs conservative managementAll of the above

Question

What are the factors to consider before you do elbow joint mobilisation in a patient with fracture involving the ulna1 pointLocation of FractureDuration since fracture and last x ray reportAge , ORIF Vs conservative managementAll of the above

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Solution

The factors to consider before you do elbow joint mobilisation in a patient with a fracture involving the ulna are:

  1. Location of Fracture: The exact location of the fracture on the ulna can affect the type and extent of mobilisation exercises that can be safely performed. For example, a fracture near the elbow joint may require more caution and a different approach compared to a fracture in the middle of the ulna.

  2. Duration since fracture and last x-ray report: The time elapsed since the fracture occurred and the last x-ray report can give an indication of the healing progress. This is important to determine whether the bone has healed enough to start mobilisation exercises.

  3. Age: The age of the patient can affect the speed and extent of healing. Older patients may take longer to heal and may require a more gentle approach to mobilisation.

  4. ORIF Vs conservative management: The type of treatment the patient has undergone can also affect when and how mobilisation should be started. Open Reduction and Internal Fixation (ORIF) is a type of surgery that may allow for earlier mobilisation compared to conservative management, which usually involves immobilisation of the joint for a period of time.

So, the answer is "All of the above". All these factors should be considered before starting elbow joint mobilisation in a patient with a fracture involving the ulna.

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