The Elbow

non - capsular patterns

Loose Body in Adulthood

Manipulations
Procedure

Perform a first manipulation, either in supination or in pronation.

After the attempt, flexion and extension are re-examined.
Not only improvement in range, but also and especially the change
in end-feel will indicate that the loose fragment has moved.
The chosen rotation is continued as long as the signs (range and
end-feel) improve.

When there is no improvement with one rotation or, after initial
success no further improvement is found, the alternative rotation
should be tried.

Treatment can be stopped when the end-feel has become normal (hard
for the extension). One should not expect to reach a painless range
immediately - the change in endfeel indicates that the loose body
has moved - and the slight pain at the end of range will disappear
during the next few days.

Technique

Follow up