Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.
Department of Occupational Therapy, School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada.
J Hand Ther. 2020 Jan-Mar;33(1):127-133. doi: 10.1016/j.jht.2018.09.004. Epub 2019 Jan 21.
Contractures are the most common complication after traumatic injury to the elbow. Although evidence supporting the use of static progressive and serial static orthoses to help recover range of motion after these complex injuries is growing, there is currently a paucity of literature exploring its efficacy in pediatric populations.
The following case study presents the results of the use of static progressive and serial static orthoses with a young patient who presented with both elbow extension and flexion contractures after a complex fracture dislocation injury.
A noted and consistent improvement in both elbow extension and flexion can be observed after commencement of the static progressive and serial static orthoses. These results are consistent with the literature exploring the efficacy of these orthoses with adult populations with traumatic elbow injuries.
Further studies evaluating the use of static progressive and serial static orthoses in the management of elbow contractures after traumatic injuries in pediatric populations is needed to establish best practices with this particular patient population.
挛缩是肘部创伤后最常见的并发症。尽管有越来越多的证据支持使用静态渐进式和连续静态矫形器来帮助恢复这些复杂损伤后的关节活动范围，但目前关于其在儿科人群中的疗效的文献仍然很少。
本病例研究介绍了在一位年轻患者中使用静态渐进式和连续静态矫形器的结果，该患者在复杂的骨折脱位损伤后出现肘部伸展和屈曲挛缩。
在开始使用静态渐进式和连续静态矫形器后，可观察到肘部伸展和屈曲均有明显且一致的改善。这些结果与文献中探索这些矫形器在成人创伤性肘部损伤中的疗效一致。
需要进一步研究评估在儿科人群创伤性肘部损伤后管理肘部挛缩中使用静态渐进式和连续静态矫形器的效果，以针对这一特定患者群体建立最佳实践。
