DIFFICULTIES IN RECOVERING THE ELBOW JOINT AFTER INJURIES

Ana Nikolova

doi:10.35120/medisij010409n

Authors

Ana Nikolova Trakia University, Medical College - Stara Zagora, Bulgaria

DOI:

https://doi.org/10.35120/medisij010409n

Keywords:

Osteophytes, Contractures, Compensatory movements

Abstract

The unique qualities of the elbow joint as a result of its specific function in the upper extremity make it well studied. The elbow functions by employing the concerted activity of its musculotendinous and bony structures. The shoulder determines the special position of the limb, whereas the elbow regulates the limb length and height to optimize the hand position and function. The evaluation of an elbow injury depends on the correlating symptoms and the history with a careful physical and radiographic examination. The high degree of congruity of the articular surfaces and the relatively small capsular volume makes the elbow joint very complicated. Any significant distortion of the normal anatomy, including bony deformity (congenital post-traumatic), bony or fibrous ankylosis and in some cases, prior surgery (ulnar nerve transposition) plays a major role in its functional recovery. It is often impossible to identify the exact etiologic abnormality responsible for the elbow stiffness and pain. This is one of the most frustrating aspects of treating patients with elbow trauma. There are many theoretic explanations of the possible etiologies, responsible for the common types of elbow joint complications, concerning the anatomic structure, physiologic abnormality or biomechanical alteration responsible for the problems of reaching full range of motion.

Downloads

Download data is not yet available.

References

Cyriax, J. H.. The pathology and treatment of tennis elbow. The Journal of Bone & Joint Surgery: October 1936 - Volume 18 - Issue 4 - p 921-940

Dai, J., Zhang, G., Li, S., Xu, J., & Lu, J. (2020). Arthroscopic treatment of posttraumatic elbow stiffness due to soft tissue problems. Orthopaedic Surgery, 12(5), 1464-1470

Desai, M. J., Ramalingam, H., & Ruch, D. S. (2017). Heterotopic ossification after the arthroscopic treatment of lateral epicondylitis. Hand, 12(3), NP32-NP36.

Gonzalez, M. H., Lotfi, P., Bendre, A., Mandelbroyt, Y., & Lieska, N. (2001). The ulnar nerve at the elbow and its local branching: an anatomic study. Journal of hand surgery (Edinburgh, Scotland), 26(2), 142–144. https://doi.org/10.1054/jhsb.2000.0532

Hastings II, H., & Graham, T. J. (1994). The classification and treatment of heterotopic ossification about the elbow and forearm. Hand clinics, 10(3), 417-437.

Kundel K, Braun W, Wieberneit J, Rüter A. (1996 ) Intraarticular distal humerus fractures. Factors affecting functional outcome. Clinical Orthopaedics and Related Research. (332):200-208. PMID: 8913164.

Miles, K. A., & Lamont, A. C. (1989). Ultrasonic demonstration of the elbow fat pads. Clinical radiology, 40(6), 602-604.).

Morrey, B., An, K. and Chao, E. (1993) Functional Evaluation of the Elbow. In: Morley, B.F., Ed., The Elbow and Its Disorders, 2nd Edition, WB Saunders, Philadelphia, 86-97

Morrey BF. (1993) Surgical exposures of the elbow. In Morrey BF.edc. The elbow and its disorders second edition. W. B. Saunders Company, p.11-36 Phyladelphia,.

Morrey BF, Harter GD. (2009) Ectopic ossification about the elbow. Chapter 31. The elbow and its disorders. 4th ed. Philadelphia: W. B. Saunders;. p. 472.

Morrey, B. F., Sotelo, J. S., & Morrey, M. E. (2017). Morrey’s The Elbow and Its Disorders E-Book. Elsevier Health Sciences

Nirsch RP, Morrey BF. (1993) ”Surgery and rehabilitation”, p.115-155, The elbow and its disorders, Chapter 7, Saunders;

Qian, Y., Yu, S., Shi, Y., Huang, H., & Fan, C. (2020). Risk factors for the occurrence and progression of posttraumatic elbow stiffness: a case-control study of 688 cases. Frontiers in Medicine, 7, 604056.

Skaggs, D. L., & Mirzayan, R. (1999). The posterior fat pad sign in association with occult fracture of the elbow in children. JBJS, 81(10), 1429-33.

Spinner M, Linsheid R L, (1993) Nerv entrapment sindroms. In Morrey BF eds The Elbow and its disorders 2 ed W>B>Saunders Phyladelpfia; 60: 813-832

Thompson, H. C., 3rd, & Garcia, A. (1967). Myositis ossificans: aftermath of elbow injuries. Clinical orthopaedics and related research, 50, 129–134.

Willner P. (1948) Anterior capsulectomy for contractures of the elbow. J Int Coll Surg; 11(4):359-62.

Wilson P. (1944) Capsulectomy for the relief of flexion contractures of the elbow following fracture. J Bone Joint Surg;26(1):71-86

Yang, C. Q., Hu, J. S., Xu, J. G., & Lu, J. Z. (2020). Heterotopic ossification after arthroscopic elbow release. Orthopaedic Surgery, 12(5), 1471-1477

Енчев Д. (2009) „Оперативно лечение на бикондиларните фрактури на хумеруса (тип С)“ ,Дисертационен труд,стр. (75-80), София,

Попов Н. (2002),“Биомеханично състояние и промени в горния крайник след резекция на главата на радиуса“.Сп.Кинезитерапия, бр.1/, стр.27-33), София.