2008
DOI: 10.1016/j.jse.2007.03.014
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Primary osteoarthritis of the elbow: Lack of radiographic evidence for morphologic predisposition, results of operative debridement at intermediate follow-up, and basis for a new radiographic classification system

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Cited by 84 publications
(60 citation statements)
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“…Clinical examination should always be performed in these cases to investigate anterolateral forearm pain which leads to a diagnosis of mobilization or poor osteointegration of the prosthesis [29]. Arthritic changes are common at weight bearing joints (hip and knee); the high congruence of the articular surfaces and the presence of strong ligamentous structures at the elbow joint contribute to its stability and delay degenerative changes; however, in the elderly, traumatic events result in early symptomatic arthritic changes [30,31].…”
Section: Discussionmentioning
confidence: 99%
“…Clinical examination should always be performed in these cases to investigate anterolateral forearm pain which leads to a diagnosis of mobilization or poor osteointegration of the prosthesis [29]. Arthritic changes are common at weight bearing joints (hip and knee); the high congruence of the articular surfaces and the presence of strong ligamentous structures at the elbow joint contribute to its stability and delay degenerative changes; however, in the elderly, traumatic events result in early symptomatic arthritic changes [30,31].…”
Section: Discussionmentioning
confidence: 99%
“…At present, the Rettig classifi cation [ 50 ] is the only classifi cation system available to stage radiographic changes in elbow OA, including radiocapitellar joint space narrowing and instability, and the development of marginal ulnohumeral osteophytes (the Rettig classifi cation [ 50 ]). This classifi cation system has demonstrated good correlation with clinical outcomes (pain and function) [ 50 ]; however, intraand inter-observer reliability has not been established.…”
Section: Elbowmentioning
confidence: 99%
“…This classifi cation system has demonstrated good correlation with clinical outcomes (pain and function) [ 50 ]; however, intraand inter-observer reliability has not been established.…”
Section: Elbowmentioning
confidence: 99%
“…An average of 65 months after an open debridement, 21 elbows gained a mean flexion arc of 30°. 13 The mean Mayo Elbow Performance Index was 86 and all patients returned to their occupations without restriction at an average 12 weeks postoperatively. Patients with more severe radiocapitellar arthritic changes had less pain relief and poor overall performance scores.…”
mentioning
confidence: 95%