创伤后肘关节僵硬的保守治疗：物理治疗师的观点
Conservative management of the post-traumatic stiff elbow: a physiotherapist's perspective.
作者信息
Jones Val
机构信息
Sheffield Shoulder and Elbow Unit, Northern General Hospital, Sheffield, UK.
出版信息
Shoulder Elbow. 2016 Apr;8(2):134-41. doi: 10.1177/1758573216633065. Epub 2016 Feb 24.
Abstract
Elbow stiffness is a common consequence following trauma with the management of this condition posing a challenge to therapists and surgeons alike. This paper discusses the role of conservative treatment, such as exercise and splinting, in the prevention and management of the stiff elbow, along with a review of available evidence, to justify their usage.
摘要
肘关节僵硬是创伤后的常见后果，对治疗师和外科医生而言，这种情况的处理都颇具挑战。本文讨论了保守治疗（如运动和夹板固定）在预防和处理肘关节僵硬中的作用，并回顾了现有证据，以证明其应用的合理性。
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本文引用的文献
1
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Shoulder Elbow. 2015 Jul;7(3):205-13. doi: 10.1177/1758573215586152. Epub 2015 May 26.
2
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Shoulder Elbow. 2015 Jan;7(1):60-71. doi: 10.1177/1758573214548934. Epub 2014 Sep 4.
3
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Br J Sports Med. 2017 Mar;51(6):531-538. doi: 10.1136/bjsports-2015-094704. Epub 2015 Jul 14.
4
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Arch Orthop Trauma Surg. 2015 May;135(5):613-7. doi: 10.1007/s00402-015-2199-5. Epub 2015 Mar 13.
5
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J Hand Surg Am. 2015 Mar;40(3):515-9. doi: 10.1016/j.jhsa.2014.11.016. Epub 2015 Jan 21.
6
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Eur J Orthop Surg Traumatol. 2014 Dec;24(8):1395-400. doi: 10.1007/s00590-014-1419-y. Epub 2014 Feb 8.
7
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8
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9
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J Orthop Sci. 2013 Nov;18(6):869-77. doi: 10.1007/s00776-013-0447-5. Epub 2013 Sep 5.
10
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J Shoulder Elbow Surg. 2013 Aug;22(8):1146-52. doi: 10.1016/j.jse.2013.04.003. Epub 2013 Jun 22.
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