Ditsios K T, Werner B S, Yamaguchi K
A' Orthopaedic Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Orthopade. 2011 Apr;40(4):296-302. doi: 10.1007/s00132-010-1664-7.
Limited mobility of the elbow joint can be due to various factors, the most common of which is trauma to the elbow. In addition, limited elbow movement can be a direct cause of decreased functionality and interfere with everyday life activities. The majority of the patients can recover a functional range of motion if physical therapy is combined with a splinting regimen. However, some patients will experience continued elbow stiffness. Traditionally, open techniques have been successful in releasing the elbow joint capsule and regaining functional range of motion. Early results of arthroscopic elbow capsule release were associated with an increased rate of peripheral nerve injury. Due to technical progress and modifications, arthroscopic capsular release of the elbow is now a safe and dependable--although technically challenging--method to regain elbow motion.
肘关节活动受限可能由多种因素引起，其中最常见的是肘部创伤。此外，肘部活动受限可能直接导致功能下降，并干扰日常生活活动。如果将物理治疗与夹板治疗方案相结合，大多数患者能够恢复功能性活动范围。然而，一些患者仍会出现持续性肘关节僵硬。传统上，开放手术在松解肘关节囊和恢复功能性活动范围方面取得了成功。关节镜下肘关节囊松解术的早期结果与周围神经损伤发生率增加有关。由于技术进步和改进，目前关节镜下肘关节囊松解术是一种安全可靠的——尽管技术上具有挑战性——恢复肘关节活动的方法。
