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Related Experiment Videos

Elbow flexion contractures treated with serial casts and conservative therapy.

C L Zander1, N L Healy

  • 1Hand Surgery Associates, P.C., Denver, CO 80210.

The Journal of Hand Surgery
|July 1, 1992
PubMed
Summary

Serial casting effectively reverses elbow flexion contractures caused by traumatic injury. This technique improved range of motion, offering a viable alternative to surgery for persistent elbow stiffness.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Biomechanical Engineering

Background:

  • Elbow flexion contractures result from traumatic injuries, leading to significant soft tissue restrictions.
  • A mean flexion deformity of 44 degrees, present for an average of 6 months, characterized the patient cohort.
  • Limited range of motion significantly impacts patient function and quality of life.

Purpose of the Study:

  • To evaluate the efficacy of serial casting in reversing elbow flexion contractures.
  • To assess the long-term maintenance of range of motion improvements.
  • To determine if serial casting is a viable alternative to surgical intervention.

Main Methods:

  • Three patients with post-traumatic elbow flexion contractures were treated with serial casting.

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  • Initial treatment involved traditional therapy for tissue stretching and elongation.
  • Cylindrical fiberglass casts were applied in maximal elbow extension for 3-5 days, with the process repeated sequentially.

    • Main Results:

    • Serial casting reduced mean elbow flexion contractures from 44 degrees to 11 degrees.
    • These improvements were maintained for an average of 26 months post-treatment.
    • Significant gains in elbow range of motion were achieved.

    Conclusions:

    • Serial casting is a successful technique for reversing elbow flexion contractures.
    • This method offers a viable conservative treatment option when traditional therapies fail.
    • Serial casting presents an alternative to surgical intervention for improving elbow mobility.