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Posttraumatic Elbow Stiffness: A Critical Analysis Review.

Basem Attum1, William Obremskey

  • 1Vanderbilt University Medical Center, Nashville, Tennessee.

JBJS Reviews
|October 21, 2016
PubMed
Summary
This summary is machine-generated.

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Surgical treatments like open and arthroscopic release effectively address posttraumatic elbow stiffness. Bracing aids range of motion, but some immediate loss is expected, with rare risks of heterotopic ossification recurrence or ulnar nerve palsy.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Posttraumatic elbow stiffness significantly impairs function.
  • Surgical intervention is often necessary for severe cases.
  • Understanding treatment efficacy and potential complications is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of surgical interventions for posttraumatic elbow stiffness.
  • To assess the role of bracing in restoring elbow range of motion.
  • To identify the incidence and management of potential complications.

Main Methods:

  • Review of surgical techniques including open and arthroscopic release.
  • Analysis of static and dynamic bracing protocols.
  • Examination of outcomes related to range of motion, heterotopic ossification, and neurological complications.

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Main Results:

  • Both open and arthroscopic release demonstrate efficacy in treating elbow stiffness.
  • Static and dynamic bracing effectively increase elbow range of motion in the absence of heterotopic ossification.
  • A minor loss of immediate postoperative range of motion is anticipated.
  • Recurrence of heterotopic ossification and occurrence of ulnar nerve palsy are rare complications.

Conclusions:

  • Open and arthroscopic release are viable surgical options for posttraumatic elbow stiffness.
  • Bracing is a valuable adjunct for improving range of motion post-surgery.
  • Awareness of potential complications like heterotopic ossification and ulnar nerve palsy is important for patient management.