Cargando…

Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow

Introduction Loss of function and pain are the main complaints at the time of hospital admission for patients with a stiff elbow. In this study, we present mid-term radiological and functional results for the use of the arthroscopic release technique in patients admitted to the outpatient clinic wit...

Descripción completa

Detalles Bibliográficos
Autores principales: Sevimli, Reşit, Aslantürk, Okan, Ergen, Emre, Ertem, Kadir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044493/
https://www.ncbi.nlm.nih.gov/pubmed/30027022
http://dx.doi.org/10.7759/cureus.2630
_version_ 1783339482767949824
author Sevimli, Reşit
Aslantürk, Okan
Ergen, Emre
Ertem, Kadir
author_facet Sevimli, Reşit
Aslantürk, Okan
Ergen, Emre
Ertem, Kadir
author_sort Sevimli, Reşit
collection PubMed
description Introduction Loss of function and pain are the main complaints at the time of hospital admission for patients with a stiff elbow. In this study, we present mid-term radiological and functional results for the use of the arthroscopic release technique in patients admitted to the outpatient clinic with a stiff elbow. Methods A total of 22 patients (six females, 16 males; mean age: 36 years, range: 18 to 56 years) who underwent an arthroscopic intervention for traumatic or non-traumatic stiff elbow and arthrosis between January 2005 and November 2015 were included in the study. All patients started elbow movement after the first day following surgery. Pre- and postoperative radiological evaluations of patients were carried out, in addition to functional evaluation to measure the range of motion of the elbow joint and the Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after surgery. Results The mean follow-up was 28.4 (range: 21 to 118) months. The mean preoperative flexion-extension arc of the patients was 89° (range: 0° to 115°), and the mean flexion-extension arc increased to 103.5° (range: 52° to 128°) at the final follow-up visit (p < 0.05). The mean preoperative DASH score was 42.17 (range: 33 to 81), decreasing to 30.35 (range: 9.7 to 41.3) postoperatively (p<0.05). In the final visit, none of the patients were found to require additional surgical interventions for the elbow. Conclusions Arthroscopic release can be considered a safe and effective option to obtain range of motion in joints in post-traumatic stiff elbow cases.
format Online
Article
Text
id pubmed-6044493
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-60444932018-07-19 Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow Sevimli, Reşit Aslantürk, Okan Ergen, Emre Ertem, Kadir Cureus Orthopedics Introduction Loss of function and pain are the main complaints at the time of hospital admission for patients with a stiff elbow. In this study, we present mid-term radiological and functional results for the use of the arthroscopic release technique in patients admitted to the outpatient clinic with a stiff elbow. Methods A total of 22 patients (six females, 16 males; mean age: 36 years, range: 18 to 56 years) who underwent an arthroscopic intervention for traumatic or non-traumatic stiff elbow and arthrosis between January 2005 and November 2015 were included in the study. All patients started elbow movement after the first day following surgery. Pre- and postoperative radiological evaluations of patients were carried out, in addition to functional evaluation to measure the range of motion of the elbow joint and the Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after surgery. Results The mean follow-up was 28.4 (range: 21 to 118) months. The mean preoperative flexion-extension arc of the patients was 89° (range: 0° to 115°), and the mean flexion-extension arc increased to 103.5° (range: 52° to 128°) at the final follow-up visit (p < 0.05). The mean preoperative DASH score was 42.17 (range: 33 to 81), decreasing to 30.35 (range: 9.7 to 41.3) postoperatively (p<0.05). In the final visit, none of the patients were found to require additional surgical interventions for the elbow. Conclusions Arthroscopic release can be considered a safe and effective option to obtain range of motion in joints in post-traumatic stiff elbow cases. Cureus 2018-05-15 /pmc/articles/PMC6044493/ /pubmed/30027022 http://dx.doi.org/10.7759/cureus.2630 Text en Copyright © 2018, Sevimli et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Sevimli, Reşit
Aslantürk, Okan
Ergen, Emre
Ertem, Kadir
Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title_full Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title_fullStr Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title_full_unstemmed Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title_short Mid-Term Outcomes of Arthroscopic Treatment in Patients with a Stiff Elbow
title_sort mid-term outcomes of arthroscopic treatment in patients with a stiff elbow
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044493/
https://www.ncbi.nlm.nih.gov/pubmed/30027022
http://dx.doi.org/10.7759/cureus.2630
work_keys_str_mv AT sevimliresit midtermoutcomesofarthroscopictreatmentinpatientswithastiffelbow
AT aslanturkokan midtermoutcomesofarthroscopictreatmentinpatientswithastiffelbow
AT ergenemre midtermoutcomesofarthroscopictreatmentinpatientswithastiffelbow
AT ertemkadir midtermoutcomesofarthroscopictreatmentinpatientswithastiffelbow