期刊
EFORT OPEN REVIEWS
卷 8, 期 5, 页码 351-360出版社
BIOSCIENTIFICA LTD
DOI: 10.1530/EOR-23-0039
关键词
arthrofibrosis; posttraumatic; soft tissue contracture; osseous impingement; treatment
类别
The elbow is prone to stiffness due to its unique anatomy and capsular reaction to inflammation. Trauma, posttraumatic arthritis, and heterotopic ossification are the most common causes. Conservative treatment is advised for soft tissue contractures, while early surgical intervention is recommended for osseous deformities. Arthroscopic arthrolysis is a preferred surgical option with lower complications.
& BULL; The elbow is prone to stiffness due to its unique anatomy and profound capsular reaction to inflammation. The resulting movement impairment may significantly interfere with a patient's activities of daily living. & BULL; Trauma (including surgery for trauma), posttraumatic arthritis, and heterotopic ossification (HO) are the most common causes of elbow stiffness. & BULL; In stiffness caused by soft tissue contractures, initial conservative treatment with physiotherapy (PT) and splinting is advised. In cases in which osseous deformities limit range of motion (e.g. malunion, osseous impingement, or HO), early surgical intervention is recommended. & BULL; Open and arthroscopic arthrolysis are the primary surgical options. Arthroscopic arthrolysis has a lower complication and revision rate but has narrower indications. & BULL; Early active mobilization using PT after surgery is recommended in postoperative rehabilitation and may be complemented by splinting or continuous passive motion therapy. Most results are gained within the first few months but can continue to improve until 12 months. & BULL; This paper reviews the current literature and provides state-of-the-art guidance on the management regarding prevention, evaluation, and treatment of elbow stiffness.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据