scholarly journals The post-traumatic stiff elbow: A review

Author(s):  
Ahsan Akhtar ◽  
Ben Hughes ◽  
AdamC. Watts
Keyword(s):  
2012 ◽  
Vol 4 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Odhrán Murray ◽  
Duncan Macdonald ◽  
Tom Nunn ◽  
Jane Mceachan ◽  
Lech Rymaszewski
Keyword(s):  

1993 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Chung Soo Han ◽  
Duke Whan Chung ◽  
Hyung Koo Kim ◽  
Dong Hee Lee
Keyword(s):  

2020 ◽  
Vol 1 (9) ◽  
pp. 576-584 ◽  
Author(s):  
Ziyang Sun ◽  
Weixuan Liu ◽  
Juehong Li ◽  
Cunyi Fan

Post-traumatic elbow stiffness is a disabling condition that remains challenging for upper limb surgeons. Open elbow arthrolysis is commonly used for the treatment of stiff elbow when conservative therapy has failed. Multiple questions commonly arise from surgeons who deal with this disease. These include whether the patient has post-traumatic stiff elbow, how to evaluate the problem, when surgery is appropriate, how to perform an excellent arthrolysis, what the optimal postoperative rehabilitation is, and how to prevent or reduce the incidence of complications. Following these questions, this review provides an update and overview of post-traumatic elbow stiffness with respect to the diagnosis, preoperative evaluation, arthrolysis strategies, postoperative rehabilitation, and prevention of complications, aiming to provide a complete diagnosis and treatment path. Cite this article: Bone Joint Open 2020;1-9:576–584.


2018 ◽  
Vol 12 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Dafang Zhang ◽  
Ara Nazarian ◽  
Edward K Rodriguez

Post-traumatic elbow stiffness is a major cause of functional impairment after elbow trauma. A stiff elbow limits patients’ ability to position their hand in space for optimal use of their upper extremities, and as such, is a frequent indication for reoperation. This article reviews current concepts on the pathogenesis of post-traumatic elbow stiffness. Current nonoperative treatment options include therapy, bracing, and manipulation under anesthesia, while operative treatment options include arthroscopic and open arthrolysis. The pros and cons of various treatment options are discussed, with a focus on the evidence supporting their use, the expected functional gains, and associated complications. Future directions in post-traumatic elbow stiffness are highlighted.


2021 ◽  
Vol 8 (31) ◽  
pp. 2919-2922
Author(s):  
Sisir Kumar Sahoo ◽  
Ganesh A ◽  
Nikhil Kumar Sureshkumar Oza ◽  
Spandan Mishra ◽  
Indraneel De

Stiff elbow is a common problem associated with terrible triad injuries which if not managed properly can lead to significant functional limitations. Here we are describing a case of post-traumatic stiff elbow following terrible triad who presented to us after taking native treatment primarily. He was treated with open arthrolysis and prophylactic ulnar nerve decompression along with rigorous physiotherapy including dynamic splinting with hinge elbow bracing. The results were satisfactory in achieving a functional range of movement according to the patient's vocational need. This study aims to present the prompt management of post-traumatic stiff elbow case along with functional improvement postoperatively in a decisive way. Terrible triad injuries are a group of the rare and severely unstable fracturedislocations following which the chance of recurrent instability, elbow stiffness, and functional limitations increases coherently.1 To perform normal daily activities, painless motion at the elbow joint is very much necessary and critical. Following a traumatic insult, a cascade of events can lead to a decrease in the normal arc of motion and also cause stiffness of the elbow joint.2 Over the last two decades, there has been a lot of speculation revolving around the management of terrible triad injuries.3 Van Riet et al had documented that the majority of the terrible triad injuries need to be managed surgically whereas the non-operative treatment is reserved for a few selected cases. 4 The ones which were not managed adequately had higher chances of turning up into stiff elbow. Post-traumatic elbow stiffness is one of the dreaded complications following terrible triad injuries.3 The aim of managing the case of post-traumatic stiff elbow is to have a painless, near-normal range of motion which can help the patient to do daily activities by himself. We are presenting a case of post-traumatic type- 4 stiff elbow following native bandage treatment and how prompt management has led to satisfactory results.


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