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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2014

01-02-2014 | Elbow

Elbow arthroscopy in stiff elbow

Authors: Luigi Adriano Pederzini, Fabio Nicoletta, Massimo Tosi, Mauro Prandini, Emanuele Tripoli, Andrea Cossio

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2014

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Abstract

Purpose

The purpose of this study was to evaluate and review the functional outcomes after arthroscopic surgery in post-traumatic and degenerative elbow contractures.

Methods

Between 2004 and 2008, 243 patients with post-traumatic or degenerative elbow stiffness were treated with arthroscopic surgery. A total of 212 patients were reviewed at an average of 58 months follow-up (SD ± 17.3). The patients were divided into two groups: group A with post-traumatic stiffness, and group B with degenerative stiffness. Arthroscopic procedures performed included: synovectomy, debridement of osteophytes, removal of loose bodies, anterior and posterior capsulectomy, radial head excision. Ulnar nerve neurolysis was usually performed. The following data were recorded and analysed: sex, age, paraesthesia, previous surgical treatment and complications. Patient outcome was assessed pre- and post-operatively by a visual analogue scale and by the Mayo Elbow Performance Index (MEPI), which assesses pain, ROM, stability and function.

Results

The total average ROM improved by 33° in group A and 20° in Group B. The MEPI improved from 60 to 81 in group A, and from 65 to 91 in group B.

Conclusions

Arthroscopic surgery in post-traumatic and degenerative elbow contractures can be considered a safe, useful, with a long learning curve procedure that offers important improvement of the ROM decreasing surgical morbidity.

Level of evidence

IV.
Literature
1.
Adams JE, Wolff LH 3rd, Merten SM, Steinmann SP (2008) Osteoarthritis of the elbow: results of arthroscopic osteophyte resection and capsulectomy. J Shoulder Elbow Surg 17(1):126–131PubMedCrossRef
2.
Akeson WH, Abel MF, Garfin SR, Woo SL (1993) Viscoelastic properties of stiff joints: a new approach in analyzing joint contracture. Biomed Mater Eng 3:67–73
3.
4.
Ball CM, Meunier M, Galatz LM, Calfee R, Yamaguchi K (2002) Arthroscopic treatment of post-traumatic elbow contracture. J Shoulder Elbow Surg 11(6):624–629PubMedCrossRef
5.
Bruno RJ, Lee ML, Strauch RJ, Rosenwasser MP (2002) Posttraumatic elbow stiffness: evaluation and management. J Am Acad Orthop Surg 10(2):106–116PubMed
6.
Conso C, Bleton R (2007) Arthroscopy in stiff elbow: report of 32 cases. Rev Chir Orthop Reparatrice Appar Mot 93(4):333–338PubMedCrossRef
7.
Eames MHA, Bain GI (2006) Distal biceps tendon endoscopy and anterior elbow arthroscopy portal. Tech Shoulder Elbow Surg 7:139–142CrossRef
8.
Figgie MP, Inglis AE, Mow CS, Figgie HE (1989) Total elbow arthroplasty for complete ankylosis of the elbow. J Bone Joint Surg Am 71:513–519PubMed
9.
Guhl JF (1985) Arthroscopy and arthroscopic surgery of the elbow. Orthopedics 8:1290–1296PubMed
10.
Hempfling H (1983) Endoscopic examination of the elbow joint from the dorsoradial approach. Z Orthop Ihre Grenzgeb 121(3):331–332PubMedCrossRef
11.
Lynch GJ, Meyers JF, Whipple TL, Caspari RB (1986) Neurovascular anatomy and elbow arthroscopy: inherent risks. Arthroscopy 2:190–197PubMedCrossRef
12.
Kelly EW, Morrey BF, O’Driscoll SW (2001) Complications of elbow arthroscopy. J Bone Joint Surg Am 83-A(1):25–34PubMed
13.
14.
Mader K, Penning D, Gausepohl T, Wulke AP (2004) Arthrolysis of the elbow joint. Unfallchirurg 107(5):403–411PubMed
15.
Morrey BF (2005) The posttraumatic stiff elbow. Clin Orthop Relat Res 431:26–35PubMed
16.
Morrey BF, Askew LJ, Chao EY (1981) A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am 63(6):872–877PubMed
17.
Nguyen D, Proper SI, MacDermid JC, King GJ, Faber KJ (2006) Functional outcomes of arthroscopic capsular release of the elbow. Arthroscopy 22(8):842–849PubMedCrossRef
18.
Nirschl RP, Pettrone FA (1979) Tennis elbow: the surgical treatment of lateral epicondylitis. J Bone Joint Surg Am 61:832–839PubMed
19.
O’Driscoll SW, Morrey BF (1992) Arthroscopy of the elbow. Diagnostic and therapeutic benefits and hazards. J Bone Joint Surg Am 74(1):84–94PubMed
20.
Ogilvie-Harris DJ, Schemitsch E (1993) Arthroscopy of the elbow for removal of loose bodies. Arthroscopy 9:5–8PubMedCrossRef
21.
Rahusen FT, Brinkman JM, Eygendaal D (2006) Results of arthroscopic debridement for osteochondritis dissecans of the elbow. Br J Sports Med 40(12):966–969PubMedCrossRef
22.
Reddy AS, Kvitne RS, Yocum LA, ElAttrache NS, Glousman RE, Jobe FW (2000) Arthroscopy of the elbow: a long-term clinical review. Arthroscopy 16(6):588–594PubMedCrossRef
23.
Rupp S, Tempelhof S (1995) Arthroscopic surgery of the elbow: therapeutic benefits and hazards. Clin Orthop Relat Res 313(4):140–145PubMed
24.
Salini V, Palmieri D, Colucci C, Croce G, Castellani ML, Orso CA (2006) Arthroscopic treatment of post-traumatic elbow stiffness. J Sports Med Phys Fitness 46(1):99–103PubMed
25.
Savoie FH III (2007) Guidelines to becoming an expert elbow arthroscopist. Arthroscopy 23(11):1237–1240PubMedCrossRef
26.
Savoie FH III (1996) Complication. In: Savoie FH III, Field LD (eds) Arthroscopy of the elbow. Churchill-Livingstone, New York, pp 151–156
27.
Schubert T, Dubuc JE, Barbier O (2007) A review of 24 cases of elbow arthroscopy using the DASH questionnaire. Acta Orthop Belg 73(6):700–703PubMed
28.
29.
30.
Steinmann SP, King GJ, Savoie FH III (2006) Arthroscopic treatment of the arthritic elbow. Instr Course Lect 55:109–117PubMed
31.
Ward WG, Anderson TE (1993) Elbow arthroscopy in a mostly athletic population. J Hand Surg Am 18:220–224PubMedCrossRef
Metadata
Title
Elbow arthroscopy in stiff elbow
Authors
Luigi Adriano Pederzini
Fabio Nicoletta
Massimo Tosi
Mauro Prandini
Emanuele Tripoli
Andrea Cossio
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2424-0

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