Ducic Sinisa, Bumbasirevic Marko, Radlovic Vladimir, Bukumiric Zoran, Bukva Bojan, Abramovic Dusan
Acta Orthop Belg. 2015 Sep;81(3):368-74.
Elbow joint stiffness is a common complication following supracondylar humerus fractures. In prospective study, dynamics of establishing a full range of motion in the elbow joint following the treatment of supracondylar humerus fractures were assessed, together with the effects of physical therapy on improvement in the range of motion. Two groups of patients were observed. Physical therapy was administered to the first group, comprised of 25 patients. The second group, comprised of 28 patients, underwent no physical therapy. In the first few months following treatment, the range of motion was significantly greater in the patients who had undergone physical therapy, but after 12 months, the range of motion was almost equal in the two groups. This study has shown that it takes about 12 months to establish a full range of motion after the injury, and that it is not necessary to apply physical therapy in patients with elbow fractures.
肘关节僵硬是肱骨髁上骨折后的常见并发症。在一项前瞻性研究中，评估了肱骨髁上骨折治疗后肘关节建立全范围活动度的动态变化，以及物理治疗对改善活动度的效果。观察了两组患者。对第一组25例患者进行了物理治疗。第二组28例患者未接受物理治疗。在治疗后的最初几个月，接受物理治疗的患者活动度明显更大，但12个月后，两组的活动度几乎相等。这项研究表明，损伤后建立全范围活动度大约需要12个月，并且对于肘部骨折患者没有必要进行物理治疗。
