Manipulation of the stiff elbow with patient under anesthesia

Duke, James B.; Tessler, Richard H.; Dell, Paul C.

doi:10.1016/s0363-5023(10)80005-x

Cited by 57 publications

(23 citation statements)

References 12 publications

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“…The benefit of manipulation under general anaesthesia is controversial because of the risk that periarticular adhesions may develop [8,15]. There is more agreement on the high risk of passive exercises, although one report didn't find statistical evidence for this opinion [11].…”

Section: Discussionmentioning

confidence: 99%

Arthrolysis for post-traumatic stiffness of the elbow

Boerboom

Meyier

Verbürg

et al. 1993

International Orthopaedics

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Twelve of 14 patients who underwent arthrolysis of the elbow for post-traumatic stiffness were re-examined after a mean of 62 months. Pain and subjective stiffness were improved. The mean function of the elbow improved from 73 degrees to 112 degrees. Those operated on within a year of their injury improved twice as much as those who had been operated on after a longer period. Arthrolysis may be very rewarding when conservative treatment fails, especially when it is carried out within a year of the injury.

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Section: Discussionmentioning

confidence: 99%

Arthrolysis for post-traumatic stiffness of the elbow

Boerboom

Meyier

Verbürg

et al. 1993

International Orthopaedics

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“…Allerdings wird die Narkosemobilisation aufgrund der nur mäßigen Erfolge, hoher Rezidiv-und Komplikationsraten wie bspw. N.-ulnaris-Schädigungen, Frakturen oder heterotoper Ossifikationen zunehmend verlassen [4,8,9]. In der eigenen Praxis wird dieses Verfahren nicht mehr durchgeführt.…”

Section: Operative Therapieunclassified

Steifer posttraumatischer Ellenbogen

Rausch

Glinski

Königshausen

et al. 2017

Trauma Berufskrankh

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“…14,29 Other authors have reported success with manipulation of stiff elbows. 25 However, most authors recommend against passive stretching due to the risk of heterotopic ossification and periarticular fractures. 13 If signs of elbow inflammation develop, the physical therapy program should be tapered, passive manipulation should be avoided, and efforts should be directed toward minimizing edema.…”

Section: Nonoperative Managementmentioning

confidence: 99%