Arthroscopy of the Stiff Elbow

Peden, John P.; Savoie, Felix H.

doi:10.1097/01.bto.0000252138.82801.e1

Cited by 2 publications

(6 citation statements)

References 32 publications

(27 reference statements)

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“…Limited skin incisions and soft tissue dissection not only decrease the risk of scarring, but also allow the patient to safely undertake an immediate aggressive postoperative physical therapy program. These measures reduce the recurrence of contracture in a joint well recognized for its propensity for stiffness [6].…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopy allows the surgeon to address extrinsic capsular and collateral ligament contractures, as well as intrinsic joint pathology, with increased visualization, and therefore, a more comprehensive appreciation of the pathology [6] [25].…”

Section: Discussionmentioning

confidence: 99%

“…If significant postoperative motion loss occurs, gentle manipulation under anesthesia to break up the early adhesions within the first 3 weeks. This subset of patients may be at increased risk for ulnar nerve dysfunction [6]. Prevention of hetrotopic ossification post-operatively was done in either technique by early motion, physical therapy and a post-operative course of NSAIDs for 4 weeks post-operatively.…”

Section: Postoperative Managementmentioning

confidence: 99%

“…Nonsurgical modalities that may be effective in improving elbow motion include physical therapy, serial casting, splinting and manipulation [6].…”

Section: Introductionmentioning

confidence: 99%

“…When performed in properly selected patients, both arthroscopic and open treatment of elbow stiffness can have satisfactory results [6].…”

Section: Introductionmentioning

confidence: 99%

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Open versus Arthroscopic Treatment of Post-Traumatic Stiff Elbow

Othman¹

2014

OJO

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Thirty three patients with post-traumatic stiff elbow were divided into two groups. The first group included 18 patients with an average age of 31.05 years treated by open arthrolysis. The second included 15 patients with an average age of 31.66 years treated by arthroscopic method. The results were evaluated using the Mayo clinic score and DASH score for elbow function. In the open group, after an average period of follow-up 19.33 months, the average range of flexion-extension movement improved from 51.11˚ to 103.94˚. The average Mayo clinic score improved from 63.38 to 92.83 and the average DASH score improved from 68.1 to 40.23. There were 13 cases (72.22%) excellent, 4 cases (22.22%) good and 1 case (5.55%) with the poor result. In the arthroscopic group, after an average period of follow-up 17.73 months, the average range of flexion-extension movement improved from 59.46˚ to 101.53˚. The average Mayo clinic score improved from 62.93 to 92.73 and the average DASH score improved from 69.25 to 46.4. There were 10 cases (66.66%) excellent, 3 cases (20%) good and 2 cases (13.33%) with the poor result. Both open and arthroscopic treatment can be effective in treatment of post-traumatic stiff elbow. Arthroscopic treatment is associated with less post-operative pain and morbidity. However, open treatment provides better range of motion and marked improvement of elbow function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Postoperative Managementmentioning

confidence: 99%

“…Nonsurgical modalities that may be effective in improving elbow motion include physical therapy, serial casting, splinting and manipulation [6].…”

Section: Introductionmentioning

confidence: 99%

“…When performed in properly selected patients, both arthroscopic and open treatment of elbow stiffness can have satisfactory results [6].…”

Section: Introductionmentioning