Filh Geraldo Motta, Galvão Marcus Vinicius
Radiologist and Director of the Radiology Service, Institute of Orthopedics and Traumatology (IOT), Hospital das Clínicas, University of Sao Paulo School of Medicine, SP, Brazil.
Physician at the Surgical Center for Shoulders and Elbows, National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro.
Rev Bras Ortop. 2015 Nov 17;45(4):347-54. doi: 10.1016/S2255-4971(15)30380-3. eCollection 2010 Jul-Aug.
Elbow stiffness is a common problem after joint trauma, causing functional impairment of the upper limb. The severity of the dysfunction depends on the nature of the initial trauma and the treatment used. Appropriate clinical evaluation and complementary examinations are essential for therapeutic planning. Several surgical techniques are now available and the recommendation must be made in accordance with patient characteristics, degree of joint limitation and the surgeon's skill. Joint incongruence and degeneration have negative effects on the prognosis, but heterotrophic ossification alone has been correlated with a favorable surgical prognosis.
肘关节僵硬是关节创伤后常见的问题,会导致上肢功能障碍。功能障碍的严重程度取决于初始创伤的性质和所采用的治疗方法。适当的临床评估和辅助检查对于治疗方案的制定至关重要。目前有多种手术技术可供选择,必须根据患者的特征、关节受限程度和外科医生的技术水平来做出推荐。关节不匹配和退变对预后有负面影响,但单纯的异位骨化与良好的手术预后相关。