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Arthroscopic release for the severely stiff elbow.

K Temporin1, K Shimada2,3, K Oura2

  • 1Department of Orthopaedic Surgery, Japan Community Healthcare Organization Osaka Hospital, 4-2-78, Fukushima, Fukushima-ku, Osaka, 553-0003, Japan. ko-tempo@umin.ac.jp.

Musculoskeletal Surgery
|April 5, 2019
PubMed
Summary

Arthroscopic release effectively improved range of motion in severely stiff elbows. Careful surgical technique is crucial to prevent complications like nerve damage during this procedure.

Keywords:
ArthroscopyCase seriesElbowReleaseSevere stiffness

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Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Elbow Joint Biomechanics

Background:

  • Arthroscopic release is a common treatment for stiff elbows.
  • Limited data exists on outcomes for severe elbow stiffness.
  • This study focuses on evaluating arthroscopic release in severe cases.

Purpose of the Study:

  • To investigate the efficacy of arthroscopic release for severely stiff elbows.
  • To assess the improvement in range of motion and functional outcomes.
  • To identify potential complications associated with the procedure.

Main Methods:

  • Ten patients with severe elbow stiffness (arc ≤ 60°) underwent arthroscopic release.
  • Procedures included capsule release, fibrosis removal, and osteophyte resection.
  • Some patients required additional ulnar nerve neurolysis or ligament release.
  • Follow-up averaged 24 months.

Main Results:

  • Arthroscopic release was performed without intraoperative complications.
  • Elbow range of motion significantly improved (flexion/extension).
  • Mayo Elbow Performance Score increased from 56 to 80.
  • Two patients required secondary arthroscopic surgery for further improvement.
  • One patient experienced osteophyte reformation necessitating revision surgery.

Conclusions:

  • Arthroscopic release can significantly improve range of motion in severely stiff elbows.
  • Meticulous surgical technique is essential to minimize risks such as intramuscular bleeding and nerve damage.