Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):13-9. doi: 10.1016/j.jse.2010.01.003.
Loss of motion of the elbow joint has several etiologies, with trauma to the elbow being most common. Restricted elbow motion can lead directly to functional decline and interfere with activities of daily living. Most patients can regain a functional arc of motion with a combination of physical therapy and a splinting regimen. However, some patients will maintain persistent elbow stiffness. Traditionally, open techniques have been used successfully to release the elbow joint capsule and regain a functional arc of motion. Early results of arthroscopic elbow capsule release were concerning for peripheral nerve injury. Technical advances and modifications have allowed arthroscopic capsular release of the elbow to emerge as a safe and reliable, though technically demanding, and method to restore elbow motion.
肘关节运动丧失有多种病因,其中以肘部创伤最为常见。肘关节运动受限可直接导致功能下降,妨碍日常生活活动。大多数患者可以通过物理治疗和夹板治疗相结合来恢复功能活动度。然而,一些患者仍会持续出现肘部僵硬。传统上,开放性技术已成功用于松解肘关节囊,恢复功能活动度。关节镜下肘关节囊松解的早期结果令人担忧,可能会导致周围神经损伤。技术进步和改良使关节镜下肘关节囊松解术成为一种安全可靠的方法,尽管技术要求较高,但可以恢复肘部运动。