Post-traumatic contracture of the elbow. Operative release using a lateral collateral ligament sparing approach.
We performed a lateral approach for the release of post-traumatic stiffness of the elbow in 22 patients using a modified technique designed to spare the lateral ligaments. They were reviewed after a mean interval of 26 months. The total humeroulnar joint movement had increased from a mean of 74 degrees to 129 degrees and forearm rotation from a mean of 135 degrees to 159 degrees. Both pain and function in the elbow had improved significantly. This modified lateral approach allows release of post-traumatic contracture without disruption of the lateral collateral ligament or the origins of the extensor tendon at the lateral epicondyle of the humerus. The advantages include a simplified surgical procedure, less operative morbidity, and unrestricted rehabilitation.
Cohen
M S
MS
Indiana Hand Center, Indianapolis 46280, USA.
Hastings
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D014947:Wounds and Injuries / Q000150:complications; D000092464:Elbow Injuries