Jones G S, Savoie F H
Mississippi Sports Medicine & Orthopaedic Center, Jackson.
Arthroscopy. 1993;9(3):277-83. doi: 10.1016/s0749-8063(05)80422-0.
Twelve patients with flexion contractures of the elbow were managed by arthroscopic release of the proximal capsule and debridement of the olecranon fossa. Postoperatively the mean flexion contracture improved from 38 to 3 degrees with supination improving from 45 to 84 degrees and pronation improving from 80 to 88 degrees. All patients reported a decrease in pain level as well as improvement in motion. There was one severe complication in this series, in which a patient sustained a permanent posterior interosseous nerve palsy. Arthroscopic limited capsular release appears to be satisfactory management modality for flexion contracture of the elbow.
12例肘关节屈曲挛缩患者接受了关节镜下近端关节囊松解及鹰嘴窝清创术。术后，平均屈曲挛缩从38度改善至3度，旋后从45度改善至84度，旋前从80度改善至88度。所有患者均报告疼痛程度减轻且活动能力改善。该系列中有1例严重并发症，1例患者出现永久性骨间后神经麻痹。关节镜下有限关节囊松解术似乎是治疗肘关节屈曲挛缩的一种令人满意的治疗方式。
