Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems
Objectives To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems. Methods A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows...
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2020-10-01
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Online Access: | https://doi.org/10.1111/os.12787 |
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doaj-4c52a9c19e974e01bdd38a38ec4a9f952020-11-25T04:09:04ZengWileyOrthopaedic Surgery1757-78531757-78612020-10-011251464147010.1111/os.12787Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue ProblemsJunxi Dai0Guofeng Zhang1Shulin Li2Jianguang Xu3Jiuzhou Lu4Department of Hand Surgery Huashan Hospital, Fudan University Shanghai ChinaDepartment of Hand Surgery The Affiliated Hospital of Medical School of Ningbo University Ningbo ChinaDepartment of Hand Surgery Huashan Hospital, Fudan University Shanghai ChinaDepartment of Hand Surgery Huashan Hospital, Fudan University Shanghai ChinaDepartment of Hand Surgery Huashan Hospital, Fudan University Shanghai ChinaObjectives To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems. Methods A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows with bony problems, such as heterotopic ossification, intraarticular nonunion or malunion, and cartilage lesions were excluded from this study. Contracture and adhesion of soft tissue around the elbow were identified. Surgical treatments included arthroscopic capsulectomy, ligaments and muscle release, and ulnar nerve release. The results were evaluated using the Mayo elbow performance score (MEPS) and range of motion of the elbow. Surgery‐related complications were assessed. Results Patients who underwent arthroscopic release were followed up for between 6 and 35 months, with a mean follow‐up time of 10.1 months. The postoperative elbow ROM was 123.2° ± 19°, which was significantly different compared to the preoperative value of 68° ± 32°. In addition, the MEPS score improved from 71.2 ± 10.3 preoperatively to 93.7 ± 6.6 at the final follow‐up, a mean improvement of 22.5 (range, 0–55; P < 0.05). Postoperative complications included five cases of prolonged drainage from the portal site, three transient nerve palsies, and one hematoma in the medial elbow. Conclusion With full recognition by the surgeon of the pathologic changes of the soft tissue around the elbow, arthroscopic release is usually safe and effective for posttraumatic elbow stiffness without symptomatic bony problems.https://doi.org/10.1111/os.12787Arthroscopic arthrolysisIntra‐articular adhesionPosttraumatic elbow stiffnessSoft tissue contracture |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Junxi Dai Guofeng Zhang Shulin Li Jianguang Xu Jiuzhou Lu |
spellingShingle |
Junxi Dai Guofeng Zhang Shulin Li Jianguang Xu Jiuzhou Lu Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems Orthopaedic Surgery Arthroscopic arthrolysis Intra‐articular adhesion Posttraumatic elbow stiffness Soft tissue contracture |
author_facet |
Junxi Dai Guofeng Zhang Shulin Li Jianguang Xu Jiuzhou Lu |
author_sort |
Junxi Dai |
title |
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems |
title_short |
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems |
title_full |
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems |
title_fullStr |
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems |
title_full_unstemmed |
Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems |
title_sort |
arthroscopic treatment of posttraumatic elbow stiffness due to soft tissue problems |
publisher |
Wiley |
series |
Orthopaedic Surgery |
issn |
1757-7853 1757-7861 |
publishDate |
2020-10-01 |
description |
Objectives To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems. Methods A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows with bony problems, such as heterotopic ossification, intraarticular nonunion or malunion, and cartilage lesions were excluded from this study. Contracture and adhesion of soft tissue around the elbow were identified. Surgical treatments included arthroscopic capsulectomy, ligaments and muscle release, and ulnar nerve release. The results were evaluated using the Mayo elbow performance score (MEPS) and range of motion of the elbow. Surgery‐related complications were assessed. Results Patients who underwent arthroscopic release were followed up for between 6 and 35 months, with a mean follow‐up time of 10.1 months. The postoperative elbow ROM was 123.2° ± 19°, which was significantly different compared to the preoperative value of 68° ± 32°. In addition, the MEPS score improved from 71.2 ± 10.3 preoperatively to 93.7 ± 6.6 at the final follow‐up, a mean improvement of 22.5 (range, 0–55; P < 0.05). Postoperative complications included five cases of prolonged drainage from the portal site, three transient nerve palsies, and one hematoma in the medial elbow. Conclusion With full recognition by the surgeon of the pathologic changes of the soft tissue around the elbow, arthroscopic release is usually safe and effective for posttraumatic elbow stiffness without symptomatic bony problems. |
topic |
Arthroscopic arthrolysis Intra‐articular adhesion Posttraumatic elbow stiffness Soft tissue contracture |
url |
https://doi.org/10.1111/os.12787 |
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