Your 80-Year-Old Patient Fractured His Distal Radius and Ulna 6

Multiple Choice

Your 80-year-old patient fractured his distal radius and ulna 6 weeks ago.He wore a cast during this period, extending from the mid-humerus to, but not including, the metacarpophalangeal joints.His cast was removed yesterday because of evidence of clinical union, and he has been cleared to begin exercise.ROM is limited (wrist flexion and extension, thumb flexion, forearm supination, and elbow extension) .Which type of exercise is contraindicated at this time?

A) Grade II distraction of the humeroulnar joint
B) Active ROM of all limited joints
C) Passive stretching to increase wrist, forearm, and elbow ROM
D) Grade III joint mobilization (gliding technique) to increase flexion of the thumb