Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 6

The Effectiveness of Dry Needling on Total Elbow Arthroplasty to Improve Range of Motion, Upper Extremity Dexterity and Performance: Case Report

Mohammad E Tamboosi* and Hashim T Alharthi

National Guard Hospital, King Abdullah International Medical Research Center, Jeddah, Kingdome of Saudi Arabia

*Corresponding Author: Mohammad E Tamboosi, National Guard Hospital, King Abdullah International Medical Research Center, Jeddah, Kingdome of Saudi Arabia.

Received: April 18, 2022; Published: May 09, 2022


Background: Complications during elbow joint (EJ) injuries might indicate further surgeries such as Total Elbow Arthroplasty (TEA), which is rarely performed from an expert surgeons. Furthermore, there are many complications occur after TEA such as infection, implant loosening, instability, fracture, and component failure in the form of bushing wear. Additionally, the triceps complications occur after the surgery. Also, the Range of Motion (ROM) of the elbow extension will be limited. Yet, there is no evidence proof the effectiveness of DN on TEA.

Objective: The current study aimed to investigate the effectiveness of DN for post TEA to Improve Range of Motion (ROM), Upper Extremity Dexterity and Functions.

Case Description: This case is a male patient, 32-years old, post TEA, 6 months post operation. He had motor vehicle accident (MVA), fixed externally 6 years ago. Multiple irrigation and debridement were performed after the accident. Finally, the physician decided to perform TEA for him, referred to physiotherapy after the operation to start the rehabilitation program which included strengthening exercises and ROM exercises. Visited our clinic to continue the rehabilitation program. During the examination, the ROM was limited and the muscles, especially the triceps, were weak.

Intervention: Patient continued the same rehabilitation program (ROM and muscles strengthening), DN was added to the intervention. He was seen for 3 times per week, for 8 weeks. DN was be applied once per week.

Results: There was a significant improvement in Box and Blocks (BBT) and Disabilities of the Arm, Shoulder, and Hand (DASH), but there was no significant difference in ROM.

Conclusion: Applying DN on post TEA demonstrate a significant improvement in dexterity and performance of EJ. Patient must continue rehabilitation program daily and the DN should be applied around the scar and on the TrPs for at least once every 2 weeks to observe the improvement.

Keywords: Total Elbow Arthroplasty; TEA; Dry Needling; Elbow; Rehabilitation


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Citation: Mohammad E Tamboosi and Hashim T Alharthi. “The Effectiveness of Dry Needling on Total Elbow Arthroplasty to Improve Range of Motion, Upper Extremity Dexterity and Performance: Case Report".Acta Scientific Orthopaedics 5.6 (2022): 22-27.


Copyright: © 2022 Mohammad E Tamboosi and Hashim T Alharthi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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