The Elbow

Loose Body in Adulthood
Manipulation in supination

  1. Starting position
    The arm should be as relaxed as possible : rotate the forearm a few
    times without traction.

  2. Apply traction by bringing the body weight on the contralateral foot
    and lean backwards.

  3. Pivoting on the foot will now gradually move the elbow from flexion
    into extension.

  4. In the meantime, rotate the patient's forearm three to four times
    and quickly into supination and back to the neutral position. Each rotation
    movement should be performed to the full range (endfeel).

Caution !!!

Extension movement is not performed beyond the degree of limitation:
if this should happen, it would result in a traumatic arthritis of the joint.

Therefore the ipsilateral foot must stop the pivoting movement well
before the end of range is reached.

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The author can not be held responsible for any damage caused by the use of any information provided.