Congenital elbow joint ankylosis

　　The pathogenesis of this disease is not yet clear, and it is generally believed that around the 5th week of embryonic development, the mesenchymal cartilage of the embryo detaches from the trunk and matures, forming the radius and ulna during the formation process, and the proximal part does not separate.

　　This disease can occur alone or be accompanied by other diseases, such as absence or fusion of the ulna, carpal bones, metacarpal bones, or phalanges. In some non-simple osseous fusion deformities, in addition to skeletal deformities, there may also be contracture of fascial tissues, abnormal fiber direction, narrowing of the interosseous membrane, abnormal or absent supinator muscle.

　　Patients mainly present with varying degrees of pronation deformity, and the movement of both forearms is limited. If the condition persists for a long time, it may lead to muscle atrophy. This disease is a rare congenital disease, and its pathogenesis is not yet clear. It is generally believed that it is formed around the 5th week of embryonic development.

　　Congenital elbow joint ankylosis is a congenital disease with no effective preventive measures. Early diagnosis and early treatment are the key to the prevention and treatment of the disease. However, attention should be paid to the fact that the surgical treatment time for children should not be delayed too long to prevent the occurrence of atrophy of hand muscles due to disuse.

　　The diagnosis of this disease is relatively easy based on its clinical manifestations and X-ray examination results, but sometimes it needs to be distinguished from elbow joint fusion surgery, as there are similarities in clinical manifestations, but the latter has a history of surgery, which can be used for differentiation.

　　For the diet and health care of congenital elbow joint rigidity, it is generally carried out after the operation, with both internal and external supplementation. First, nutritional supplementation is required after taking the medicine, although it is difficult to achieve a 100% cure, but with the nutrition inside, it is beneficial for the patient. Secondly, patients also need to undergo rehabilitation exercises after the medical treatment, so if the patient has been in the hospital for a long time, it proves that the disease is relatively serious, and it is more important to pay attention to the opinion and advice on diet:

　　Firstly, patients should pay attention to a light diet, avoid eating too much spicy, pickled, fried, and oily foods, eat more fresh vegetables and fruits, avoid smoking and drinking, and pay attention to a light and nutritious diet, balance the diet, and avoid spicy and stimulating substances.

　　Secondly, it is recommended to have a balanced diet, eat more fruits and vegetables, high-fiber foods, more eggs, soybeans, and other high-protein foods, pay attention to a light diet, and do moderate exercise. For those with fibrous joint stiffness, physical therapy can be tried, active and passive exercises with mild manual techniques, and physical therapy can be considered according to circumstances, which is effective for early joint adhesions. A balanced diet, a reasonable diet, and specific physical conditions need to be consulted with professional doctors.

　　After the disease of elbow joint rigidity, it is very important to pay attention to diet in daily life, and cold and raw foods should be avoided in the diet of elbow joint rigidity. The diet of elbow joint rigidity can be cooked with Astragalus, prepared Rehmannia, Angelica sinensis, Lycium barbarum, and other herbs with meat and other foods as food therapy (eating meat and drinking soup) and so on. Foods high in fiber, protein, and cellulose are the first choice for patients with rigidity, and dietary therapy is particularly important for patients with elbow joint rigidity. Elbow joint rigidity diet can also consult a nutritionist to create the most suitable diet for the patient.

　　Finally, in terms of health care, in most cases, massage, acupuncture, and other treatments can be used to improve the condition.

　　For patients with congenital elbow joint rigidity who have the function of biceps brachii and triceps brachii, artificial joint replacement can be considered. For those with unilateral elbow joint fusion, the forearm can be fixed in a functional position through osteotomy to partially restore the function of the right elbow joint and daily living ability. For those affected by the opposite elbow joint, elbow arthroplasty can be considered. For those without epiphysis in the elbow joint, osteotomy correction can be considered up to school age to prevent muscle atrophy due to disuse.