title: ARTHROSCOPIC TREATMENT OF POST-TRAUMATIC ELBOW STIFFNESS.
abstract: To evaluate patients undergoing arthroscopic release of a stiff elbow, with discussion of the technique, possible difficulties and risks.
  
  
  METHODS
  Twenty-four elbow arthroscopy procedures were performed. All the patients were evaluated using goniometry before the operation and six months afterwards and were rated using the Mayo elbow performance score (MEPS).
  
  
  RESULTS
  Fifteen men and nine women underwent surgery (14 right elbows and ten left elbows). Their mean age was 34.58 years and length of follow-up, 38.41 months. Their mean gain of range of motion was 43.3° and of MEPS, 85.4.
  
  
  CONCLUSIONS
  Arthroscopic release might enable better intra-articular viewing and enhance the options for changing strategy during surgery, reducing surgical trauma and enabling early rehabilitation. This technique can reach similar or better results than open surgery. The disadvantages of arthroscopy are the long learning curve and higher cost of the procedure. Neurovascular complications are reported with both techniques. To avoid such problems, the protocol for portal construction must be rigorously followed. Arthroscopic release was shown to be a safe and effective option for achieving range-of-motion gains in cases of post-traumatic stiff elbow.
authors.affiliation: Shoulder and Elbow Surgeon in the Advanced Study Center for Orthopedics and Neurosurgery, São Paulo, SP, Brazil.
authors.forename: Jose Carlos Garcia
authors.initials: JC
authors.lastname: Júnior
authors.affiliation: Coordinator of the Orthopedics and Traumatology Service, Celso Pierro Hospital and Maternity Hospital, Pontificate Catholic University (PUC), Campinas, SP, Brazil.
authors.forename: Jose Luis Amim
authors.initials: JL
authors.lastname: Zabeu
authors.affiliation: Third-year Orthopedics Resident in the Orthopedics and Traumatology Service, Celso Pierro Hospital and Maternity Hospital, Pontificate Catholic University (PUC), Campinas, SP, Brazil.
authors.forename: Ivaldo Angelo Cintra
authors.initials: IA
authors.lastname: Junior
authors.affiliation: Physician in the Orthopedics and Traumatology Service, Celso Pierro Hospital and Maternity Hospital, Pontificate Catholic University (PUC), Campinas, SP, Brazil.
authors.forename: Carlos Augusto
authors.initials: CA
authors.lastname: Mattos
authors.affiliation: Physiotherapist in the Advanced Study Center for Orthopedics and Neurosurgery, São Paulo, SP, Brazil.
authors.forename: Jesely Pereira
authors.initials: JP
authors.lastname: Myrrha
keywords: Arthroscopy; Contracture/surgery; Elbow Joint/injuries; Elbow/injuries