Rehabilitation of elbow trauma

Chinchalkar, Shrikant J.; Szekeres, Mike

doi:10.1016/j.hcl.2004.06.004

Cited by 42 publications

(16 citation statements)

References 33 publications

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“…[5][6][7] Trauma constitutes the most frequent cause of elbow contracture, [8][9][10][11][12][13] but the role of immobilization during the bone healing stage might also contribute to the functional loss. Published discussion on ROM recovery after elbow fractures focuses on the etiology and treatment of stiffness, 14-21 but the recovery of elbow ROM after an uncomplicated elbow fracture has not been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

The Recovery of Elbow Range of Motion After Treatment of Supracondylar and Lateral Condylar Fractures of the Distal Humerus in Children

Wang¹,

Chang²,

Hsu³

et al. 2009

Journal of Orthopaedic Trauma

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Section: Discussionmentioning

confidence: 99%

The Recovery of Elbow Range of Motion After Treatment of Supracondylar and Lateral Condylar Fractures of the Distal Humerus in Children

Wang¹,

Chang²,

Hsu³

et al. 2009

Journal of Orthopaedic Trauma

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“…Intra- and extra-articular malunion and nonunion may cause pain, instability, and limitation of the elbow function. Post-traumatic and post-operative immobilization of the elbow for long periods could lead to adhesions and contractures of intra- and peri-articular elements ( 9 , 14 ). In our study, after posterior elbow arthrolysis, the range of motion increased significantly.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes After Posterior Open Elbow Arthrolysis for Posttraumatic Elbow Stiffness

2014

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Background:Loss of motion is a well-known complication after elbow trauma and in severe cases, arthrolysis of elbow is the procedure of choice. The posterior approach might have some advantages especially in post-traumatic patients who have undergone the same surgical approach in the past.Objectives:The aim of this study was to evaluate the short-term outcomes of elbow arthrolysis through posterior approach. Moreover, we assessed the effect of operation on the patients’ quality of life.Patients and Methods:During a retrospective-cohort study, the medical records of 14 patients (12 men, two women) whose range of movement had been limited post-traumatically and had undergone elbow arthrolysis with posterior approach were reviewed. Before intervention, the patients had a flexion less than 100 degrees or an extension lag of 30 degrees or more. For evaluation of the final outcomes, they were invited to participate in our study and the final range of motion, visual analogue score (VAS), disability of arm, shoulder and hand (DASH), Mayo elbow score (MES) and short form health survey (SF-36) scores were measured in the patients.Results:Mean age of the participants was 28.7 years. The interval from initial injury and arthrolysis was 16 months and the patients were followed for 14 months. The mean range of motion in patients before surgery was 35.8 degrees, which was increased to a mean of 108.9 after the surgery, indicating a 73.1 degrees improvement. The means of VAS, DASH, Mayo elbow and SF-36 scores in the patients were 1.6, 34, 68 and 43, respectively. A significant inverse correlation was found between the preoperative range of motion and final range of motion.Conclusions:According to our results, elbow arthrolysis through posterior approach could be an effective technique with low complications. Since the final range of motion improved significantly, it might be a valuable method in promoting the patients’ quality of life.

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“…Elbow stiffness depends on articular congruence, capsuloligamentous structures, peri-articular muscles (in particular the brachialis anterior) and pain which entails a voluntary and inadvertent reduction in ROM. Pain appears in 25% of high-energy traumas, 15% of dislocations and also in low-energy traumas with immobilization and it is the most common complication after a trauma involving fracture, dislocation or damage to soft tissues (7,8). Elbow stiffness is a very disabling complication because it impedes the fundamental role of the elbow: placing the hand in space.…”

Section: Indications For the Use Of Mobilization Braces In Flexion-exmentioning

confidence: 99%

The use of braces in the rehabilitation treatment of the post-traumatic elbow

Fusaro

Orsini

Sforza

et al. 2014

Joints

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The elbow, the middle joint of the upper limb, enables the hand to be placed at various distances from the body. The articular, muscular and neuromotor complexity of the elbow is such that it is often prone to stiffness, especially if immobilized for long periods of time. Therefore, mobilization of the posttraumatic elbow must be started early. In the presence of lesions to the ligamentous structures, the joint must be protected to prevent these structures from being placed under tension during movement. Rehabilitation of the elbow includes the use of braces. Different types of brace are used depending on clinical situation and the objectives to be achieved. They can have fixed protection or locked articulation, allow an adjustable range of movement to restrict flexion-extension and pronation-supination, or allow dynamic and static progressive movement. The latter plays a special role in conservative treatment and following surgical release. However, the effectiveness of braces in the rehabilitation treatment of elbow stiffness depends on the patient’s compliance. Their use requires a considerable amount of physician time to achieve the objectives envisaged by the rehabilitation program.

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Rehabilitation of elbow trauma

Cited by 42 publications

References 33 publications

The Recovery of Elbow Range of Motion After Treatment of Supracondylar and Lateral Condylar Fractures of the Distal Humerus in Children

The Recovery of Elbow Range of Motion After Treatment of Supracondylar and Lateral Condylar Fractures of the Distal Humerus in Children

Clinical Outcomes After Posterior Open Elbow Arthrolysis for Posttraumatic Elbow Stiffness

The use of braces in the rehabilitation treatment of the post-traumatic elbow

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