Posttraumatic Elbow Stiffness

Charalambous, Charalambos Panayiotou; Morrey, B.F.

doi:10.2106/jbjs.k.00711

Cited by 102 publications

(90 citation statements)

References 98 publications

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“…Much of the literature reports good outcomes, with a sustained gain of flexion and extension motion regardless of the management protocol followed. However, most only place emphasis on the sagittal flexion and extension range, with little elaboration on the rotational range [4]. Because the radiocapitellum joint is involved in forearm rotation, the main objective of the present study was to investigate the significance of restoring the often neglected rotational range in the elbow and forearm; in conjunction with the sagittal range.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic elbow rotational stiffness

Ling¹,

Lui²,

Yan³

et al. 2014

Shoulder & Elbow

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Section: Introductionmentioning

confidence: 99%

Post-traumatic elbow rotational stiffness

Ling¹,

Lui²,

Yan³

et al. 2014

Shoulder & Elbow

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“…Yet, our findings are in line with the literature, thus providing sufficient evidence to support changes even with comparatively low numbers. Another limitation is the fact that elbow "stiffness" and loss of function was defined as an arc of elbow motion less than 100°[ 3,5,[15][16][17][18][19] . Nevertheless, recent studies report that the functional elbow range of motion that is necessary for activities of daily living may actually be greater than this [25] .…”

Section: Discussionmentioning

confidence: 99%

“…The primary functional outcome has been defined as achieving early active motion within the limits of pain with or without the use of a sling or a hinged brace [5,10] . Numerous complications of simple elbow dislocation have been described including neurovascular injury, joint instability, heterotopic ossification, occult distal radio-ulnar joint disruption and post-traumatic stiffness, most commonly defined as an arc of elbow motion less than 100°[ 3,5,[15][16][17][18] . Biomechanical studies have shown that arcs of motion between 30° to 130° are required for most daily activities [19] and that a loss of 50° in the arc of motion, can cause up to an 80% loss of function [18] .…”

Section: Introductionmentioning

confidence: 99%

Cost analysis and outcomes of simple elbow dislocations

Panteli

Pountos

Kanakaris

et al. 2015

WJO

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AIM:To evaluate the management, clinical outcome and cost implications of three different treatment regimes for simple elbow dislocations. METHODS:Following institutional board approval, we performed a retrospective review of all consecutive patients treated for simple elbow dislocations in a Level Ⅰ trauma centre between January 2008 and December 2010. Based on the length of elbow immobilisation (LOI), patients were divided in three groups (Group I, < 2 wk; Group Ⅱ, 2-3 wk; and Group Ⅲ, > 3 wk). Outcome was considered satisfactory when a patient could achieve a pain-free range of motion ≥ 100° (from 30° to 130°). The associated direct medical costs for the treatment of each patient were then calculated and analysed. RESULTS:We identified 80 patients who met the inclusion criteria. Due to loss to follow up, 13 patients were excluded from further analysis, leaving 67 patients for the final analysis. The mean LOI was 14 d (median 15 d; range 3-43 d) with a mean duration of hospital engagement of 67 d (median 57 d; range 10-351 d). Group Ⅲ (prolonged immobilisation) had a statistically significant worse outcome in comparison to Group Ⅰ and Ⅱ (P = 0.04 and P = 0.01 respectively); however, there was no significant difference in the outcome between groups Ⅰ and Ⅱ (P = 0.30 Core tip: Our study demonstrates that prolonged immobilisation following simple elbow dislocations may lead to detrimental effects. We therefore stress the need for increased vigilance to the duration of immobilisation and that every effort should be taken to ensure that without associated fractures, the elbow should not be immobilised for more than three weeks. In addition, our study supports that the direct medical cost from treating these injuries may be substantial regardless of the type of treatment, and this should be known both by commissioners and providers of health care.Panteli M, Pountos I, Kanakaris NK, Tosounidis TH, Giannoudis PV. Cost analysis and outcomes of simple elbow dislocations. World J Orthop 2015; 6(7): 513-520 Available from: URL:

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“…Despite literatures' confirmation of the tendency for elbow stiffness following trauma and surgery [2] [6] [7] research on the benefits of joint mobilizations for restoring humeroulnar joint mobility is lacking and needs further delineation. Instead, the literature suggests procedures such as manipulation under anesthesia, bracing, and open or arthroscopic release as primary treatment options for resolving post traumatic elbow stiffness, which have been shown to have success in relieving elbow contracture [7] [10] [11] [20]- [24]. However, not all the options are feasible for patients for various reasons such as the length of time required for recovery or wearing a splint, cost of another procedure or renting a splinting device, or simply due to the business of life.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Including Manual Therapy Management Following Complicated Immobilized Radial Head Fracture and Elbow Stiffness: A Case Report

Stump¹,

Sizer²,

Brismée³

2014

IJCM

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Radial head fractures are one of the most common fractures of the elbow and typically occur after a fall on an outstretched arm. When the fracture is displaced, unfavorable outcomes can occur and lead to early arthritis. Additionally, elbow pain and stiffness due to immobilization or surgical reduction and stabilization typically ensues and can limit one's overall upper extremity function. Rehabilitation following such a fracture can be challenging and the inclusion of manual therapy in the management process has not been described to date in the literature. Therefore, the aim of this case report is to present the evaluation and treatment of a 40-year-old female following a complicated radial head fracture. The rehabilitation conducted over a four-month course is discussed and the benefits of joint specific manual therapy in the rehabilitation are highlighted.

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Posttraumatic Elbow Stiffness

Cited by 102 publications

References 98 publications

Post-traumatic elbow rotational stiffness

Post-traumatic elbow rotational stiffness

Cost analysis and outcomes of simple elbow dislocations

Rehabilitation Including Manual Therapy Management Following Complicated Immobilized Radial Head Fracture and Elbow Stiffness: A Case Report

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