Kim S J, Kim H K, Lee J W
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seodaemoon Seoul, Korea.
Arthroscopy. 1995 Dec;11(6):680-3. doi: 10.1016/0749-8063(95)90109-4.
Twenty-five patients with limitation of motion of the elbow joint caused by the intraarticular pathologies were treated with the following arthroscopic procedures: removal of loose bodies, excision of osteophytes, anterior capsular release, abrasion arthroplasty, and partial excision of the radial head. The extension of the elbow improved by 7 degrees, from a preoperative average of 21 degrees to a postoperative average of 14 degrees. The flexion of the elbow improved by 17 degrees, from a preoperative average of 113 degrees to a postoperative average of 130 degrees. The total range of motion improved by 24 degrees, from a preoperative average of 92 degrees to a postoperative average of 116 degrees. The average score of the Elbow Rating Scale of Morrey improved from a preoperative value of 2.8 to a postoperative value of 4.6. Twenty-three patients (92%) were satisfied with their results. Arthroscopy of the elbow is an effective diagnostic and therapeutic procedure for the limitation of motion caused by the intraarticular problems with minimal morbidity and rapid functional recovery.
25例因关节内病变导致肘关节活动受限的患者接受了以下关节镜手术治疗：取出游离体、切除骨赘、前关节囊松解、磨蚀性关节成形术以及桡骨头部分切除术。肘关节伸直角度改善了7度，从术前平均21度提高到术后平均14度。肘关节屈曲角度改善了17度，从术前平均113度提高到术后平均130度。总活动范围改善了24度，从术前平均92度提高到术后平均116度。Morrey肘关节评分量表的平均得分从术前的2.8分提高到术后的4.6分。23例（92%）患者对治疗结果满意。肘关节镜检查是治疗关节内问题导致活动受限的一种有效诊断和治疗方法，具有发病率低、功能恢复快的特点。
