Operation for the stiff elbow

Itoh, Yoshiyasu; Saegusa, K.; Ishiguro, Takaaki Ishigure Ryota; Homma, Yukio; Sasaki, Takeshi; Uchinishi, K

doi:10.1007/bf00268509

Cited by 54 publications

(40 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We also observed thickening and scarring of the POB in all cases at operation. This was also noted by Itoh et al 9 and Hida. 14 It appears that a fibrous contracture of the POB is one of the most important pathological changes in the stiff elbow.…”

Section: Discussionsupporting

confidence: 77%

See 1 more Smart Citation

The medial approach for operative release of post-traumatic contracture of the elbow

Wada

Ishii

Usui

et al. 2000

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We treated post-traumatic contracture of the elbow in 13 consecutive patients (14 elbows) by operative release. Through a single medial approach, the posterior oblique bundle of the medial collateral ligament was resected, followed by posterior and anterior capsulectomies. An additional lateral release through a separate incision was required in only four elbows. The results were assessed at a mean interval of 57 months after operation.Before surgery active extension lacked 43° which improved to 17° after operation. Active flexion before operation was 89°, which improved to 127°. The mean arc of movement increased from 46° to 110°. All 14 elbows showed scarring of the posterior oblique bundle of the medial collateral ligament.Neither the interval from injury to operative release nor the age of the patient affected the results. A medial approach is useful to reveal and excise the pathological changes in the medial collateral ligament. It is a safe and effective route through which to correct post-traumatic contracture of the elbow.

show abstract

Section: Discussionsupporting

confidence: 77%

“…9,14 The MCL of the elbow consists of three parts: an anterior oblique bundle (AOB), a posterior oblique bundle (POB), and a transverse segment. 15 The AOB provides stability.…”

mentioning

confidence: 99%

The medial approach for operative release of post-traumatic contracture of the elbow

Wada

Ishii

Usui

et al. 2000

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…A moderate extension deficit does not result in functional limitations but loss of flexion can affect everyday activities [3,10,11,19].…”

Section: Introductionmentioning

confidence: 99%

Arthrolysis in the relief of post-traumatic stiffness of the elbow

Amillo

1992

International Orthopaedics

View full text Add to dashboard Cite

SUMMARYA retrospective clinical study of 34 patients treated by arthrolysis for elbow stiffness is presented. These patients had sustained previous injury which was a simple fracture in 44%. The average age at operation was 31 years with a range from 6 to 57 years. Follow up for a minimum of one year, and an average of four years, showed an increase of motion from a preoperative average of 45° to a postoperative average of 92° with few complications and only three unsatisfactory results. This analysis has allowed conclusions concerning the technique and indications for operation. RÉSUMÉPrésentation de l'étude rétrospective de 34 raideurs 'du coude traitées par arthrolyse. Ces patients avaient subi un traumatisme qui n'était, dans 44% des cas, qu'une simple fracture. L'âge moyen au moment de l'opération était de 31 ans, avec des extrêmes de 6 à 57 ans. Le rectal moyen était de 4 ans, avec un minimum d'un an. On a obtenu une amélioration de la mobilité qui est passée de 45° en moyenne en pré-opératoire à 92° en moyenne après l'arthrolyse. Il n'y a eu que peu de complications et seulement 3 échecs. Cette étude permet des conclusions concernant la technique et les indications de cette opération.

show abstract

“…Several different surgical procedures can be applied to the stiff elbow (Urbaniak et al 1985, Itoh et al 1989, Money 1990, Gates et a1.1992, Redden and Stanley 1993, S~jbjerg et al 1995). An adequate patient selection based on the preoperative assessment and classification is necessary.…”

Section: Treatmentmentioning

confidence: 99%