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创伤后肘关节僵硬:病因、危险因素及当前治疗方法

Post-traumatic elbow stiffness: etiology, risk factors and current treatments.

作者信息

Fan Maoqiang, Xu Fan, Fei Chen, Liu Yao, Yang Zhongtao, Song Zhe

机构信息

Department of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Department of Orthopaedic Surgery, Xi'an Medical University, Xi'an, Shaanxi, China.

出版信息

Front Surg. 2025 Aug 26;12:1643326. doi: 10.3389/fsurg.2025.1643326. eCollection 2025.

Abstract

Post-traumatic elbow stiffness is a major cause of functional impairment after elbow trauma, affecting 10%-15% of patients. A 50% reduction in elbow range of motion can lead to an 80% decline in upper limb functionality, significantly impairing work performance and social participation. Based on a systematic search of Pub Med, Web of Science, China Knowledge Net and other databases, this paper systematically reviewed the diagnosis and treatment of post-traumatic elbow stiffness. While open and arthroscopic lysis remain effective when nonoperative treatment fails, the timing of surgery and the duration of postoperative immobilization remain controversial. Early and individualized rehabilitation is critical, and future research will focus on optimizing individualized treatment protocols and multidisciplinary treatment modalities.

摘要

创伤后肘关节僵硬是肘部创伤后功能障碍的主要原因,影响10%-15%的患者。肘关节活动范围减少50%可导致上肢功能下降80%,显著损害工作表现和社会参与度。通过对PubMed、科学网、中国知网等数据库进行系统检索,本文对创伤后肘关节僵硬的诊断和治疗进行了系统综述。虽然当非手术治疗失败时,切开松解和关节镜松解仍然有效,但手术时机和术后固定时间仍存在争议。早期个体化康复至关重要,未来的研究将集中在优化个体化治疗方案和多学科治疗模式上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e9a/12418977/416a4bc77cee/fsurg-12-1643326-g001.jpg

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