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Neglected post traumatic elbow stiffness: Practical considerations in prevention and management.

John Mukhopadhaya1, Janki Sharan Bhadani1

  • 1Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar, India.

Journal of Clinical Orthopaedics and Trauma
|May 27, 2026
PubMed
Summary

Post-traumatic elbow stiffness is a difficult problem, especially when treatment is delayed or inadequate. This review offers a practical guide for managing neglected elbow stiffness, focusing on rehabilitation.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Rehabilitation Medicine

Background:

  • Post-traumatic elbow stiffness is a frequent complication of neglected or inadequately managed trauma.
  • Delayed mobilization, high-energy injuries, and prolonged inflammation exacerbate elbow stiffness.
  • Elbow anatomy makes it susceptible to significant motion loss even from minor injuries, with stiffness being difficult to reverse.

Purpose of the Study:

  • To provide a practical framework for managing neglected post-traumatic elbow stiffness.
  • To outline decision-making algorithms, timing considerations, and rehabilitation principles.
  • To address challenges in real-world clinical settings.

Main Methods:

  • Review of current evidence on post-traumatic elbow stiffness.
Keywords:
ArthrolysisElbow jointElbow stiffnessHeterotopic ossificationJoint contracturesRange of motion

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  • Development of management algorithms for neglected cases.
  • Emphasis on rehabilitation principles and timing.

    • Main Results:

    • Identified key factors contributing to stiffness severity (delayed mobilization, injury type, inflammation).
    • Highlighted the complexity of elbow stiffness due to fibrosis, heterotopic ossification, and contractures.
    • Acknowledged patient-related factors impacting recovery (pain, compliance, access to rehab).

    Conclusions:

    • Neglected post-traumatic elbow stiffness requires a structured approach for effective management.
    • Timely and appropriate rehabilitation is crucial for reversing stiffness.
    • A practical framework aids clinicians in decision-making for complex cases.