Static progressive versus dynamic splinting for posttraumatic elbow stiffness: a systematic review of 232 patients

Veltman, Ewout S.; Doornberg, Job N.; Eygendaal, Denise; Bekerom, Michel P.J. van den

doi:10.1007/s00402-015-2199-5

Cited by 53 publications

(22 citation statements)

References 25 publications

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“…Firstly, the overall methodological quality of the studies was fair and included only three RCTs, while it furthermore consisted of observational studies. Although previous studies have also used this methodology of combining both RCT's and observational trials [50,51], it is important to note that the risk of bias is substantially larger in observational studies. Secondly, the heterogeneity of the used interventions between included studies was high.…”

Section: Discussionmentioning

confidence: 99%

Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients

Hendrickx

Hilgersom

Alkaduhimi

et al. 2020

Arch Orthop Trauma Surg

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Background and purpose Humeral shaft fractures are often associated with radial nerve palsy (RNP) (8-16%). The primary aim of this systematic review was to assess the incidence of primary and secondary RNP in closed humeral shaft fractures. The secondary aim was to compare the recovery rate of primary RNP and the incidence of secondary RNP between operative and non-operative treatment. Methods A systematic literature search was performed in 'Trip Database', 'Embase' and 'PubMed' to identify original studies reporting on RNP in closed humeral shaft fractures. The Coleman Methodology Score was used to grade the quality of the studies. The incidence and recovery of RNP, fracture characteristics and treatment characteristics were extracted. Chi-square and Fisher exact tests were used to compare operative versus non-operative treatment. Results Forty studies reporting on 1758 patients with closed humeral shaft fractures were included. The incidence of primary RNP was 10%. There was no difference in the recovery rate of primary RNP when comparing operative treatment with radial nerve exploration (98%) versus non-operative treatment (91%) (p = 0.29). The incidence of secondary RNP after operative and non-operative treatment was 4% and 0.4%, respectively (p < 0.01). Interpretation One-in-ten patients with a closed humeral shaft fracture has an associated primary RNP, of which > 90% recovers without the need of (re-)intervention. No beneficial effect of early exploration on the recovery of primary RNP could be demonstrated when comparing patients managed non-operatively with those explored early. Patients managed operatively for closed humeral shaft fractures have a higher risk of developing secondary RNP. Level of evidence Level IV; Systematic Review.

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Section: Discussionmentioning

confidence: 99%

Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients

Hendrickx

Hilgersom

Alkaduhimi

et al. 2020

Arch Orthop Trauma Surg

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“…przedoperacyjnie, zaburzeniach prawidło-wych stosunków anatomicznych. Samo wprowadzenie kinezyterapii wydawało się konieczne ze wzglę-du na zagrożenie dysfunkcją stawu łokciowego, wynikającą z nakładającego się okresu unieruchomienia po pierwszym i drugim zabiegu operacyjnym [23,24].…”

Section: Discussionunclassified

“…pre-operative, abnormal anatomy of the region. Kinesiotherapy itself did seem necessary due to the risk of elbow dysfunction caused by accumulating periods of immobilisation after the first and second surgery [23,24].…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Causes of Fracture Non-union after Diaphyseal Forearm Fracture Fixation: an in Silico Analysis. Case Study

Lorkowski

Kuczek

Kotela

2016

Ortop Traumatol Rehabil

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To sum up, we believe that the case described in this paper confirms the limitations to the use of LCP reconstruction plates in patients with well-developed musculature, even in the case of repeat fixation, when good adjustment of the plate well to the axis of the bone appears necessary. It is possible to use an orthosis, first a locking one and then one that limits pronation during further treatment of a partially healed fracture, but, as this case shows, it is not a fully reliable method of preventing complications.

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“… 21 Within the early phase, splinting, either static or dynamic, has proven helpful. 22 - 24 Schwartz, 25 in a literature review, and Müller et al, 26 in a recent meta-analysis, both found support for the use of static-progressive splinting when used in the early phase of post-traumatic and post-operative stiffness. Non-operative treatment also usually includes physiotherapy, guided range of movement exercises and passive mobilizations.…”

Section: Conservative Treatmentmentioning

confidence: 96%

Post-traumatic stiff elbow

Adolfsson

2018

EFORT Open Reviews

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Post-traumatic and post-operative stiffness of the elbow joint is relatively common and may in pronounced cases markedly interfere with normal upper extremity function.Soft-tissue contractures and heterotopic bone formation are two major causes of limited movement.Extensive recent research has elucidated many of the pathways contributing to these conditions, but the exact mechanisms are still unknown.In the early phase of soft-tissue contractures conservative treatment may be valuable, but in longstanding cases operative treatment is often necessary.Several different options are available depending on the severity of the condition and the underlying offending structures. Surgical treatment may allow significant gains in movement but rarely complete restoration, and complications are not uncommon.The following presentation reviews the recent literature on pathomechanisms and treatment alternatives.Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170062

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Static progressive versus dynamic splinting for posttraumatic elbow stiffness: a systematic review of 232 patients

Cited by 53 publications

References 25 publications

Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients

Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients

Biomechanical Causes of Fracture Non-union after Diaphyseal Forearm Fracture Fixation: an in Silico Analysis. Case Study

Post-traumatic stiff elbow

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