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the close relationship of the muscles, working as secondary stabilizers, makes the elbow susceptible to contracture and stiffness following a trauma, be it accidental or surgical. Loss of elbow movement may also ensue after, for example, neurological
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Introduction Elbow stiffness can be a debilitating condition that significantly impacts a patient’s ability to perform activities of daily living ( 1 , 2 ). The elbow joint is particularly susceptible to stiffness due to its highly congruent
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Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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, stiffness, and a limitation in the range of motion (ROM). 3 According to the literature, the elbow joint is more affected by OA in men who perform strenuous manual work. 1 , 2 Essential parts of non-operative treatment are rest, anti
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currently insufficient evidence to recommend routine prophylaxis against HO after ORIF of distal humeral fractures. Elbow stiffness Stiffness is the most common sequela after ORIF of distal humeral fractures and is often observed even after optimal
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primary goal of surgical treatment to regain an unrestricted elbow function. Thus, the surgeon carefully needs to address all aspects of the injury to allow early (active) rehabilitation and thereby prevent elbow stiffness. 4 An improper osseous
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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a prolonged period of immobilization before or after surgery or malalignment may both result in elbow stiffness. A history of progressive pain of the wrist may suggest an injury of the interosseous membrane (IOM) (i.e. Essex-Lopresti lesion
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
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Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands
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< 0.01). A second failure mode was elbow stiffness ( n = 30, 20% of all failures). Intentionally loose-fit prostheses were more frequently revised for elbow stiffness than press-fit prostheses (20/53 loose-fit prostheses versus 3/47 press
San Feliciano Group (Villa Aurora), Rome, Italy
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during the identification phase. Technical notes, systematic reviews and meta-analyses were excluded from the analysis. Likewise, studies investigating pathologies of the elbow, wrist or hand, clavicle and acromioclavicular joint were excluded from the
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over replacement. TEA is indicted in older patients with low functional demands that are unable to perform activities of daily living due to pain and stiffness at the elbow. The first total elbow procedures reported were performed in rheumatoid
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removed, any elbow joint contractures should be released. Failure to address stiffness in distal humerus nonunion increases the chances of a poor outcome: postoperative motion exercises will lead to excessive stress at the supracondylar nonunion region
