Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems

Autor: Junxi Dai, Guofeng Zhang, Jiu-Zhou Lu, Jianguang Xu, Shulin Li
Rok vydání: 2020
Předmět:
musculoskeletal diseases
Adult
Male
medicine.medical_specialty
Contracture
Soft Tissue Injuries
Adolescent
Intra‐articular adhesion
Elbow
Nonunion
Posttraumatic elbow stiffness
03 medical and health sciences
Arthroscopy
Young Adult
Soft tissue contracture
0302 clinical medicine
lcsh:Orthopedic surgery
Surveys and Questionnaires
Elbow Joint
medicine
Humans
Orthopedics and Sports Medicine
Orthopedic Procedures
Malunion
Range of Motion
Articular
Ulnar nerve
Retrospective Studies
030222 orthopedics
Clinical Article
business.industry
Soft tissue
Middle Aged
medicine.disease
musculoskeletal system
Surgery
body regions
lcsh:RD701-811
medicine.anatomical_structure
Arthroscopic arthrolysis
Clinical Articles
Heterotopic ossification
Female
medicine.symptom
Range of motion
business
Elbow Injuries
030217 neurology & neurosurgery
Zdroj: Orthopaedic Surgery
Orthopaedic Surgery, Vol 12, Iss 5, Pp 1464-1470 (2020)
ISSN: 1757-7861
Popis: Objectives To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems. Methods A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows with bony problems, such as heterotopic ossification, intraarticular nonunion or malunion, and cartilage lesions were excluded from this study. Contracture and adhesion of soft tissue around the elbow were identified. Surgical treatments included arthroscopic capsulectomy, ligaments and muscle release, and ulnar nerve release. The results were evaluated using the Mayo elbow performance score (MEPS) and range of motion of the elbow. Surgery‐related complications were assessed. Results Patients who underwent arthroscopic release were followed up for between 6 and 35 months, with a mean follow‐up time of 10.1 months. The postoperative elbow ROM was 123.2° ± 19°, which was significantly different compared to the preoperative value of 68° ± 32°. In addition, the MEPS score improved from 71.2 ± 10.3 preoperatively to 93.7 ± 6.6 at the final follow‐up, a mean improvement of 22.5 (range, 0–55; P
The sequence of arthroscopic release of common soft tissue contracture or adhesion around elbow in patients with posttraumatic stiffness without symptomatic bony problem
Databáze: OpenAIRE
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