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Posttraumatic contracture of the elbow: current management issues.
Paul S Issack1, Kenneth A Egol
1NYU-Hospital for Joint Diseases Department of Orthopaedic Surgery, 301 East 17th Street, New York, New York 10003, USA.
Bulletin (Hospital for Joint Diseases (New York, N.Y.))
|August 2, 2006
Summary
Posttraumatic elbow stiffness limits daily activities. Early motion and physical therapy are key, with surgery reserved for persistent cases.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Posttraumatic elbow stiffness significantly impairs activities of daily living.
- Early intervention is crucial for preventing long-term functional limitations.
Purpose of the Study:
- To outline strategies for preventing and managing posttraumatic elbow stiffness.
- To discuss current treatment options, including surgical interventions.
Main Methods:
- Anatomical reduction and early range of motion exercises for fractures.
- Physical therapy and static-progressive splinting for established contractures.
- Surgical release for refractory cases after non-surgical management failure.
Main Results:
- Prompt treatment of fractures with stabilization and early motion minimizes stiffness.
- Non-surgical methods are the first line of treatment for established contractures.
- Surgical approach selection depends on pathology, skin condition, and arthritis.
Conclusions:
- Prevention through optimal fracture management and early rehabilitation is paramount.
- A structured approach involving physical therapy, splinting, and selective surgery addresses elbow stiffness.
- Managing young patients with severe contractures and degenerative changes remains a challenge.
