Posttraumatic stiff elbow

被引:19
作者
Mittal, Ravi [1 ]
机构
[1] All India Inst Med Sci, Dept Orthopaed, New Delhi 110029, India
关键词
Elbow; myositis ossificans; stiffness; trauma; HINGED EXTERNAL FIXATOR; CONTINUOUS PASSIVE MOTION; HETEROTOPIC OSSIFICATION; CONTRACTURE RELEASE; SURGICAL-TREATMENT; DISTRACTION ARTHROPLASTY; JOINT CONTRACTURES; ANTERIOR RELEASE; OPEN ARTHROLYSIS; MYOFIBROBLASTS;
D O I
10.4103/0019-5413.197514
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Posttraumatic stiff elbow is a frequent and disabling complication and poses serious challenges for its management. In this review forty studies were included to know about the magnitude of the problem, causes, pathology, prevention, and treatment of posttraumatic stiff elbow. These studies show that simple measures such as internal fixation, immobilization in extension, and early motion of elbow joint are the most important steps that can prevent elbow stiffness. It also supports conservative treatment in selected cases. There are no clear guidelines about the choice between the numerous procedures described in literature. However, this review article disproves two major beliefs-heterotopic ossification is a bad prognostic feature, and passive mobilization of elbow causes elbow stiffness.
引用
收藏
页码:4 / 13
页数:10
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