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关节内鹰嘴截骨术及粘连松解术治疗创伤后肘关节僵硬

Intra-articular Olecranon Osteotomy and Adhesiolysis for Treatment of Post-traumatic Elbow Stiffness.

作者信息

Adhav Harshad L, Nehete Rajendra Y, Nehete Anita R

机构信息

Department of Orthopaedics, Vedant Hospital, Nashik, Maharashtra. India.

出版信息

J Orthop Case Rep. 2020 Nov;10(8):72-75. doi: 10.13107/jocr.2020.v10.i08.1866.

DOI:10.13107/jocr.2020.v10.i08.1866
PMID:33708716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7933635/
Abstract

INTRODUCTION

Loss of motion is common in elbow trauma. Restoration of joint motion in post-traumatic stiff elbow can be a difficult, time consuming, and costly. We report a case of post-traumatic elbow stiffness treated with intra articular olecranon osteotomy and adhesiolysis.

CASE PRESENTATION

A 30-year-old female, with right dominant upper extremity, presented 13 months after operated well aligned right intra articular distal humerus fracture with right elbow stiffness. She had a fixed flexion deformity of 20 degrees with flexion arc of 20-30 degrees and completely free supination and pronation. She was unable to perform the activities of daily living with affected right upper extremity. Intra-articular chevron olecranon osteotomy and adhesiolysis were done for the post-traumatic elbow stiffness. Immediate post-operative active and active assisted motion exercises of elbow joint were started. Indwelling infra clavicular catheter with continuous Ropivacaine infusion was kept for analgesia. At 6 month post-operative follow-up, she achieved 10-110 degree elbow flexion arc with completely free supination and pronation. She is able to perform the daily living activities with right upper extremity.

CONCLUSION

Many different methods of treating post traumatic stiff elbow have been described, intra articular olecranon osteotomy helps in addressing intrinsic and extrinsic pathology with better results.

摘要

引言

活动受限在肘部创伤中很常见。创伤后肘关节僵硬的关节活动恢复可能是一项困难、耗时且昂贵的工作。我们报告一例采用鹰嘴关节内截骨术和粘连松解术治疗的创伤后肘关节僵硬病例。

病例介绍

一名30岁女性，右上肢为优势上肢，在右肱骨远端关节内骨折手术对位良好13个月后出现右肘关节僵硬。她有20度的固定屈曲畸形，屈曲弧度为20 - 30度，旋前和旋后完全正常。她无法用患侧右上肢进行日常生活活动。针对创伤后肘关节僵硬进行了鹰嘴关节内V形截骨术和粘连松解术。术后立即开始肘关节的主动和主动辅助活动锻炼。留置锁骨下导管持续输注罗哌卡因用于镇痛。术后6个月随访时，她的肘关节屈曲弧度达到10 - 110度，旋前和旋后完全正常。她能够用右上肢进行日常生活活动。

结论

已经描述了许多治疗创伤后肘关节僵硬的不同方法，鹰嘴关节内截骨术有助于解决内在和外在病理问题，效果更好。

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本文引用的文献

1
POST-TRAUMATIC STIFFNESS OF THE ELBOW.肘部创伤后僵硬
Rev Bras Ortop. 2015 Nov 17;45(4):347-54. doi: 10.1016/S2255-4971(15)30380-3. eCollection 2010 Jul-Aug.
2
The posttraumatic stiff elbow.创伤后肘关节僵硬
Clin Orthop Relat Res. 2005 Feb(431):26-35.
3
The assessment and management of the stiff elbow.肘关节僵硬的评估与处理
Instr Course Lect. 2003;52:93-111.
4
Arthroscopic treatment of post-traumatic elbow contracture.创伤后肘关节挛缩的关节镜治疗
J Shoulder Elbow Surg. 2002 Nov-Dec;11(6):624-9. doi: 10.1067/mse.2002.126770.
5
Progressive surgical release of a posttraumatic stiff elbow. Technique and outcome after 2-18 years in 46 patients.创伤后肘关节僵硬的渐进性手术松解。46例患者2至18年的技术与结果
Acta Orthop Scand. 2002 Apr;73(2):144-50. doi: 10.1080/000164702753671713.
6
Complications of elbow arthroscopy.肘关节镜检查的并发症
J Bone Joint Surg Am. 2001 Jan;83(1):25-34. doi: 10.2106/00004623-200101000-00004.
7
The column procedure: a limited lateral approach for extrinsic contracture of the elbow.柱状手术：一种用于肘部外在挛缩的有限外侧入路。
J Bone Joint Surg Am. 1998 Nov;80(11):1603-15.
8
Post-traumatic contracture of the elbow. Operative release using a lateral collateral ligament sparing approach.创伤后肘关节挛缩。采用保留外侧副韧带的入路进行手术松解。
J Bone Joint Surg Br. 1998 Sep;80(5):805-12. doi: 10.1302/0301-620x.80b5.8528.
9
The stiff elbow.僵硬的肘部。
Acta Orthop Scand. 1996 Dec;67(6):626-31. doi: 10.3109/17453679608997771.
10
Static progressive stretch to reestablish elbow range of motion.进行静态渐进性拉伸以恢复肘关节活动范围。
Clin Orthop Relat Res. 1994 Jun(303):128-34.