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Rat Model of Adhesive Capsulitis of the Shoulder
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Arthroscopic Capsular Release for Post-traumatic Elbow Stiffness.

Kassem Ghayyad1, Zahra Ahmadi2, Hadi Rajabi2

  • 1Orthopedic Surgery, Rothman Orthopaedics Florida at AdventHealth, Orlando, USA.

Cureus
|November 29, 2023
PubMed
Summary

Arthroscopic arthrolysis significantly improves range of motion and reduces pain for post-traumatic elbow stiffness (PTES). This safe procedure offers reliable outcomes for patients with elbow joint limitations.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation

Background:

  • Post-traumatic elbow stiffness (PTES) significantly impairs function and quality of life.
  • Limited research exists on arthroscopic techniques for PTES compared to open release.
  • Differentiating post-traumatic from non-traumatic stiffness is crucial for treatment selection.

Purpose of the Study:

  • To evaluate the clinical outcomes of arthroscopic release for PTES.
  • To assess improvements in range of motion (ROM), pain, and functional scores.
  • To determine the complication rate associated with arthroscopic elbow arthrolysis.

Main Methods:

  • Prospective cohort study of 32 adult patients undergoing arthroscopic arthrolysis for PTES.
  • Measurements included ROM, grip strength, ASES, MEPI, and VAS scores pre- and post-operatively.
Keywords:
arthroscopic releaseelbow stiffnessminimal clinically important differencepatient-reported outcomespost-traumatic

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  • Paired t-test used to compare pre-operative and post-operative changes in scores.

    • Main Results:

    • Significant improvement in ROM (74° to 110°, p<0.001).
    • Significant improvements in ASES (69 to 79, p<0.001) and MEPI (64 to 82, p<0.001) scores.
    • Significant reduction in VAS pain scores (1.1 to 0.31, p<0.001); 12% complication rate.

    Conclusions:

    • Arthroscopic arthrolysis is a safe and effective treatment for PTES.
    • The procedure enhances joint visualization and reduces patient pain.
    • Patients with distal humerus or proximal ulna fractures should be counseled on potential secondary surgery risks and recovery.