© Copyright 2026 American Medical Association. All rights reserved.
Manipulation under anesthesia (MUA) of the elbow is a specialized procedure aimed at restoring mobility to the elbow joint. This intervention is particularly beneficial for patients who have developed fibrous adhesions, also known as arthrofibrosis, as a result of previous surgical interventions or fractures in the elbow region. The presence of these adhesions can significantly limit the range of motion, causing discomfort and functional impairment. During the procedure, an anesthetic is administered to ensure that the patient remains comfortable and pain-free. The physician then carefully manipulates the elbow through its full range of motion, which includes flexion (bending), extension (straightening), supination (rotating the forearm so the palm faces up), and pronation (rotating the forearm so the palm faces down). It is crucial for the physician to apply adequate force to effectively rupture the adhesions while simultaneously avoiding excessive force that could potentially harm the joint structures or surrounding bones. This delicate balance is essential for achieving the desired outcome of improved mobility and function in the elbow joint.
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