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Lars Adolfsson Department of Orthopaedics, University Hospital of Linköping, Sweden

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. Indications for treatment As a general rule, the indications for treatment of a stiff elbow are relative and dependent on the patients’ appreciation of the functional deficit. Any given restriction measured in degrees may have different implications for

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Mark F Siemensma Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Anna E van der Windt Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Eline M van Es Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Joost W Colaris Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Denise Eygendaal Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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stability is often not abnormal; however, it can be difficult to test in patients with limited ROM. In stiff elbows, pathological changes of the posteromedial capsule, as well as tissue scarring or even protruding metalwork due to previous surgery, increase

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Huub H. de Klerk Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands

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Chantal L. Welsink Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands

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Anne J. Spaans Department of Orthopaedic Surgery, St Maartenskliniek, Nijmegen/Boxmeer, The Netherlands

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Lukas P. E. Verweij Department of Orthopaedic Surgery, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Movement Sciences (AMS), Academic Center for Evidence-Based Sports Medicine (ACES), Amsterdam, The Netherlands

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Michel P. J. van den Bekerom Department of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands
Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands

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concluded that in patients with contracture release of a stiff elbow, pain was the strongest predictor of the final general health status. 59 Therefore, pain could be the most important factor for the patient in choosing arthroscopic debridement, open

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Anne J. Spaans Department of Orthopaedic Surgery, Sint Maartenskliniek Nijmegen/Boxmeer, the Netherlands

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C.M. (Lilian) Donders Department of Orthopaedic Surgery, Meander Medical Center Amersfoort, the Netherlands

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J.H.J.M. (Gert) Bessems Department of Children’s Orthopaedics, Erasmus MC- Sophia Children’s Hospital, University Medical Center Rotterdam, the Netherlands
Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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Christiaan J.A. van Bergen Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands

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7 d (4–12) intravenous followed by 38 d (30–45) oral 3 stiff elbows No growth disturbances MEPS 86 nm 5/16 Note . d, days; m, months; nm, not mentioned; n , number of patients; MEPS, Morrey Elbow Performance Score; MINORS

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Jetske Viveen Department of Trauma and Orthopedic Surgery, Flinders Medical Centre and University, Adelaide, Australia
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands

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Izaak F. Kodde Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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Andras Heijink Department of Orthopedic Surgery, Catharina Hospital, Eindhoven, The Netherlands

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Koen L. M. Koenraadt Foundation for Orthopedic Research, Care & Education, Amphia Hospital, Breda, The Netherlands

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Michel P. J. van den Bekerom Shoulder and Elbow Unit, Department of Orthopedic Surgery, Amsterdam, The Netherlands

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Denise Eygendaal Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands

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. Mellema JJ Lindenhovius AL Jupiter JB . The posttraumatic stiff elbow: an update . Curr Rev Musculoskelet Med 2016 ; 9 : 190 – 198 . 49. Veltman ES Doornberg JN Eygendaal D van den Bekerom

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T Gosens Department of Orthopedic and Trauma Surgery, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands
Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands

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B L den Oudsten Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands
Center of Research on Psychological and Somatic disorders (CoRPS), Tilburg University, Tilburg, The Netherlands

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that pain coping strategies such as pain catastrophizing and anxiety for pain delayed recovery ( 56 ). Coaching of patients with a minimally displaced radial head fracture improved motion and countered the development of a stiff elbow ( 57 ). Positive

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