Adolfsson Lars
Department of Orthopaedics, University Hospital of Linköping, Sweden.
EFORT Open Rev. 2018 May 21;3(5):210-216. doi: 10.1302/2058-5241.3.170062. eCollection 2018 May.
Post-traumatic and post-operative stiffness of the elbow joint is relatively common and may in pronounced cases markedly interfere with normal upper extremity function.Soft-tissue contractures and heterotopic bone formation are two major causes of limited movement.Extensive recent research has elucidated many of the pathways contributing to these conditions, but the exact mechanisms are still unknown.In the early phase of soft-tissue contractures conservative treatment may be valuable, but in longstanding cases operative treatment is often necessary.Several different options are available depending on the severity of the condition and the underlying offending structures. Surgical treatment may allow significant gains in movement but rarely complete restoration, and complications are not uncommon.The following presentation reviews the recent literature on pathomechanisms and treatment alternatives. Cite this article: 2018;3 DOI: 10.1302/2058-5241.3.170062.
肘关节创伤后及术后僵硬相对常见,在严重情况下可能会显著干扰上肢正常功能。软组织挛缩和异位骨化是导致活动受限的两个主要原因。近期大量研究阐明了许多导致这些情况的途径,但确切机制仍不清楚。在软组织挛缩的早期阶段,保守治疗可能有价值,但在病程较长的病例中,手术治疗往往是必要的。根据病情严重程度和潜在的病变结构,有几种不同的选择。手术治疗可能会使活动有显著改善,但很少能完全恢复,且并发症并不少见。以下报告回顾了关于发病机制和治疗选择的近期文献。引用本文:2018;3 DOI: 10.1302/2058-5241.3.170062 。