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Elbow Stiffness

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The Elbow

Abstract

The primary function of the elbow is to position and stabilize the hand in space. It has been estimated that to obtain this, the required physiologic arc of movement is about 0–145° for extension and flexion, respectively, and of 70–85° for pronation and supination (Palastanga et al. 2006). Morrey et al. (1981) stated that, to perform the basic activity of daily living, a minimum arc of movement of 30–130° in extension and flexion and of 50–50° in pronation and supination is enough. A stiff elbow has been defined by Sojbjerg as one with a loss of extension greater than 30° and less than 120° of flexion (Sojbjerg 1996). From these data we must put our attention to the fact that a loss of terminal extension is less disabling than a loss of the same degree of terminal flexion: this will be important when we will deal with the rehabilitation program.

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References

  • Germscheid NM, Hildebrand KA (2006) Regional variation is present in elbow capsules after injury. Clin Orthop Relat Res 450:219–224

    Article  Google Scholar 

  • Hastings H II, Graham TJ (1994) The classification and treatment of heterotopic ossification about the elbow and forearm. Hand Clin 10(3):417–437

    PubMed  Google Scholar 

  • Hildebrand KA, Zhang M et al (2004) Myofibroblast numbers are elevated in human elbow capsules after trauma. Clin Orthop Relat Res 419:189–197

    Article  Google Scholar 

  • Hildebrand KA, Zhang M et al (2005) High rate of joint capsule matrix turnover in chronic human elbow contractures. Clin Orthop Relat Res 439:228–234

    Article  Google Scholar 

  • Husband JB, Hastings H II (1990) The lateral approach for operative release of posttraumatic contracture of the elbow. J Bone J Surg Am 72:1353–1358

    Article  CAS  Google Scholar 

  • Jupiter JB, Ring D (1998) Operative treatment of post-traumatic proximal radioulnar synostosis. J Bone Joint Surg 80A:248–257

    Article  Google Scholar 

  • Jupiter JB, O’Driscoll SW, Cohen MS (2003) The assessment and management of the stiff elbow. Instr Course Lect 52:93–111

    PubMed  Google Scholar 

  • King GJW, Faber KJ (2000) Posttraumatic elbow stiffness. Orthop Clin N Am 31(1):129–143

    Article  CAS  Google Scholar 

  • Lim YW, van Riet RP, Mittal R, Bain GI (2008) Pattern of osteophyte distribution in primary osteoarthritis of the elbow. Should Elb Surg 17(6):963–966

    Article  Google Scholar 

  • Morrey BF (1990) Post-traumatic contracture of the elbow. Operative treatment, including distraction arthroplasty. J Bone Joint Surg Am 72:601–618

    Article  CAS  Google Scholar 

  • Morrey BF (2005) The posttraumatic stiff elbow. Clin Orthop Relat Res 431:26–35

    Google Scholar 

  • Morrey BF, Askew RPT, An KN et al (1981) A biomechanical study of normal functional elbow motion. J Bone J Surg Am 63:872–876

    Article  CAS  Google Scholar 

  • Nandi S, Maschke S et al (2009) The stiff elbow. Hand (N Y) 4(4):368–379. doi:10.1007/s11552-009-9181-z

    Article  Google Scholar 

  • Nishiwaki M, Willing R, Johnson JA, King GJ, Athwal GS (2013) Identifying the location and volume of bony impingement in elbow osteoarthritis by 3-dimensional computational modeling. J Hand Surg [Am] 38(7):1370–1376. doi:10.1016/j.jhsa.2013.03.035

    Article  Google Scholar 

  • Palastanga NP, Field D, Soames R, American Society for Surgery of the Hand (2006) Anatomy and human movement: structure and function, 5th edn. Butterworth Heinemann, Inc., London, p 717. isbn:0-7506-8814-9

    Google Scholar 

  • Rettig LA, Hastings H II, Feinberg JR (2008) Primary osteoarthritis of the elbow: lack of radiographic evidence for morphologic predisposition, results of operative debridement at intermediate follow-up, and basis for a new radiographic classification system. J Shoulder Elb Surg 17(1):97–105

    Article  Google Scholar 

  • Sojbjerg JO (1996) The stiff elbow. Acta Orthop Scand 67(6):626–631

    Article  CAS  Google Scholar 

  • Sojbjerg JO, Vardakas DG, Varitimidis SE, Goebel F, Vogt MT, Sotereanos DG (2002) Evaluating and treating the stiff elbow. Hand Clin 18(1):77–85

    Article  Google Scholar 

  • Vardakas DG, Varitimidis SE, Goebel F et al (2002) Evaluating and treating the stiff elbow. Hand Clin 18:77–85

    Article  Google Scholar 

  • Viola RW, Hastings H II (2000) Treatment of ectopic ossification about the elbow. Clin Orthop Relat Res 370:65–86

    Article  Google Scholar 

  • Weiss AP, Sachar K (1994) Soft tissue contractures about the elbow. Hand Clin 10(3):439–451

    CAS  PubMed  Google Scholar 

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Correspondence to Enrico Guerra .

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Guerra, E., Marinelli, A., Rotini, M. (2018). Elbow Stiffness. In: Porcellini, G., Rotini, R., Stignani Kantar, S., Di Giacomo, S. (eds) The Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-27805-6_30

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  • DOI: https://doi.org/10.1007/978-3-319-27805-6_30

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