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The posttraumatic stiff elbow: an update

  • Elbow Soft Tissue Surgery (L Oh, Section Editor)
  • Published:
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Abstract

Posttraumatic elbow stiffness is a disabling condition that remains challenging to treat despite improvement of our understanding of the pathogenesis of posttraumatic contractures and new treatment regimens. This review provides an update and overview of the etiology of posttraumatic elbow stiffness, its classification, evaluation, nonoperative and operative treatment, and postoperative management.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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

    PubMed  Google Scholar 

  2. Morrey BF. The posttraumatic stiff elbow. Clin Orthop Relat Res. 2005;431:26–35.

    PubMed  Google Scholar 

  3. Kay NR. Arthrolysis of the post-traumatic stiff elbow. In: Stanley D, Kay NR, editors. Surgery of the elbow. London: Arnold; 1998. p. 228–34.

    Google Scholar 

  4. Blonna D, Wolf JM, Fitzsimmons JS, O’Driscoll SW. Prevention of nerve injury during arthroscopic capsulectomy of the elbow utilizing a safety-driven strategy. J Bone Joint Surg Am. 2013;95(15):1373–81. This article described a safety-driven step-wise strategy for arthroscopic capsulectomy of the elbow. Utilizing this strategy, arthroscopic contracture release and debridement of the elbow is associated with a low risk of nerve injury.

    Article  PubMed  Google Scholar 

  5. Peden JP, Morrey BF. Total elbow replacement for the management of the ankylosed or fused elbow. J Bone Joint Surg Br. 2008;90(9):1198–204.

    Article  CAS  PubMed  Google Scholar 

  6. Lindenhovius AL, Doornberg JN, Brouwer KM, Jupiter JB, Mudgal CS, Ring D. A prospective randomized controlled trial of dynamic versus static progressive elbow splinting for posttraumatic elbow stiffness. J Bone Joint Surg Am. 2012;94(8):694–700.

    Article  PubMed  Google Scholar 

  7. Larson AN, Morrey BF. Interposition arthroplasty with an Achilles tendon allograft as a salvage procedure for the elbow. J Bone Joint Surg Am. 2008;90(12):2714–23.

    Article  PubMed  Google Scholar 

  8. Ring D, Jupiter JB. Operative release of ankylosis of the elbow due to heterotopic ossification. Surgical technique. J Bone Joint Surg Am. 2004;86-A Suppl 1:2–10.

    PubMed  Google Scholar 

  9. Jupiter JB. The management of nonunion and malunion of the distal humerus—a 30-year experience. J Orthop Trauma. 2008;22(10):742–50.

    Article  PubMed  Google Scholar 

  10. Ring D, Adey L, Zurakowski D, Jupiter JB. Elbow capsulectomy for posttraumatic elbow stiffness. J Hand Surg. 2006;31(8):1264–71.

    Article  Google Scholar 

  11. Mansat P, Morrey BF. Semiconstrained total elbow arthroplasty for ankylosed and stiff elbows. J Bone Joint Surg Am. 2000;82(9):1260–8.

    CAS  PubMed  Google Scholar 

  12. O’Driscoll SW. Clinical assessment and open and arthroscopic surgical treatment of the stiff elbow. In: Jupiter JB, editor. The stiff elbow. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2006. p. 9–19.

    Google Scholar 

  13. Morrey BF. Surgical treatment of extraarticular elbow contracture. Clin Orthop Relat Res. 2000;370:57–64.

    Article  PubMed  Google Scholar 

  14. Cohen MS, Schimmel DR, Masuda K, Hastings 2nd H, Muehleman C. Structural and biochemical evaluation of the elbow capsule after trauma. J Shoulder Elbow Surg. 2007;16(4):484–90.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Hildebrand KA, Zhang M, Hart DA. High rate of joint capsule matrix turnover in chronic human elbow contractures. Clin Orthop Relat Res. 2005;439:228–34.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Germscheid NM, Hildebrand KA. Regional variation is present in elbow capsules after injury. Clin Orthop Relat Res. 2006;450:219–24.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hildebrand KA, Zhang M, van Snellenberg W, King GJ, Hart DA. Myofibroblast numbers are elevated in human elbow capsules after trauma. Clin Orthop Relat Res. 2004;419:189–97.

    Article  PubMed  Google Scholar 

  18. Hinz B, Phan SH, Thannickal VJ, Galli A, Bochaton-Piallat ML, Gabbiani G. The myofibroblast: one function, multiple origins. Am J Pathol. 2007;170(6):1807–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Doornberg JN, Bosse T, Cohen MS, Jupiter JB, Ring D, Kloen P. Temporary presence of myofibroblasts in human elbow capsule after trauma. J Bone Joint Surg Am. 2014;96(5):e36. This article present negative results on the hypothesis that myofibroblast numbers are elevated in long-standing (more than five months) human posttraumatic elbow capsules, suggesting that its influence is more prominent early after acute trauma.

    Article  PubMed  Google Scholar 

  20. Lake SP, Castile RM, Borinsky S, Dunham CL, Havlioglu N, Galatz LM. Development and use of an animal model to study post-traumatic stiffness and contracture of the elbow. J Orthop Res. 2016;34(2):354–64. This article describes the development and use of an animal model to study post-traumatic stiffness and contracture of the elbow. The authors claim their animal model is the first capable of examining challenges unique to the anatomically and biomechanically complex elbow joint.

  21. Hildebrand KA, Zhang M, Salo PT, Hart DA. Joint capsule mast cells and neuropeptides are increased within four weeks of injury and remain elevated in chronic stages of posttraumatic contractures. J Orthop Res. 2008;26(10):1313–9.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Hildebrand KA, Zhang M, Hart DA. Myofibroblast upregulators are elevated in joint capsules in posttraumatic contractures. Clin Orthop Relat Res. 2007;456:85–91.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Ring D, Jupiter JB. Operative release of complete ankylosis of the elbow due to heterotopic bone in patients without severe injury of the central nervous system. J Bone Joint Surg Am. 2003;85-A(5):849–57.

    PubMed  Google Scholar 

  24. Viola RW, Hastings H, 2nd. Treatment of ectopic ossification about the elbow. Clin Orthop Relat Res. 2000(370):65-86.

  25. Ranganathan K, Loder S, Agarwal S, Wong VC, Forsberg J, Davis TA, et al. Heterotopic ossification: basic-science principles and clinical correlates. J Bone Joint Surg Am. 2015;97(13):1101–11.

    Article  PubMed  Google Scholar 

  26. Abrams GD, Bellino MJ, Cheung EV. Risk factors for development of heterotopic ossification of the elbow after fracture fixation. J Shoulder Elbow Surg. 2012;21(11):1550–4.

    Article  PubMed  Google Scholar 

  27. Bauer AS, Lawson BK, Bliss RL, Dyer GS. Risk factors for posttraumatic heterotopic ossification of the elbow: case-control study. J Hand Surg. 2012;37(7):1422–9 e1-6.

    Article  Google Scholar 

  28. Douglas K, Cannada LK, Archer KR, Dean DB, Lee S, Obremskey W. Incidence and risk factors of heterotopic ossification following major elbow trauma. Orthopedics. 2012;35(6):e815–22.

    Article  PubMed  Google Scholar 

  29. Hong CC, Nashi N, Hey HW, Chee YH, Murphy D. Clinically relevant heterotopic ossification after elbow fracture surgery: a risk factors study. Orthop Traumatol Surg Res. 2015;101(2):209–13.

    Article  CAS  PubMed  Google Scholar 

  30. Wiggers JK, Helmerhorst GT, Brouwer KM, Niekel MC, Nunez F, Ring D. Injury complexity factors predict heterotopic ossification restricting motion after elbow trauma. Clin Orthop Relat Res. 2014;472(7):2162–7.

    Article  PubMed  Google Scholar 

  31. Kapanji IA. The physiology of the joints. Paris: Churchill Livingstone; 1982.

    Google Scholar 

  32. Ilyas A, Rehman S. Distal humerus fractures. In: Ilyas A, Rehman S, editors. Contemporary surgical management of fractures and complications. 1st ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2013. p. 249–75.

    Google Scholar 

  33. Schemitsch EH, Tencer AF, Henley MB. Biomechanical evaluation of methods of internal fixation of the distal humerus. J Orthop Trauma. 1994;8(6):468–75.

    Article  CAS  PubMed  Google Scholar 

  34. Yang KH, Park HW, Park SJ, Jung SH. Lateral J-plate fixation in comminuted intercondylar fracture of the humerus. Arch Orthop Trauma Surg. 2003;123(5):234–8.

    PubMed  Google Scholar 

  35. Brouwer KM, Lindenhovius AL, Ring D. Loss of anterior translation of the distal humeral articular surface is associated with decreased elbow flexion. J Hand Surg. 2009;34(7):1256–60.

    Article  Google Scholar 

  36. McKee M, Jupiter J, Toh CL, Wilson L, Colton C, Karras KK. Reconstruction after malunion and nonunion of intra-articular fractures of the distal humerus. Methods and results in 13 adults. J Bone Joint Surg Br. 1994;76(4):614–21.

    CAS  PubMed  Google Scholar 

  37. An K, Zobitz ME, Morrey BF. Biomechanics of the elbow. In: Morrey BF, Sanchez-Sotelo J, editors. The elbow and its disorders. Philadelphia, PA: WB Saunders; 1993. p. 39–66.

    Google Scholar 

  38. Lechasseur B, Laflamme M, Leclerc A, Bedard AM. Incipient malunion of an isolated humeral trochlea fracture treated with an elbow hemiarthroplasty: case report. J Hand Surg. 2015;40(2):271–5.

    Article  Google Scholar 

  39. Morrey BF. The stiff elbow with articular involvement. In: Jupiter JB, editor. The stiff elbow. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2006. p. 21–30.

    Google Scholar 

  40. Schatzker J. Intraarticular malunions and nonunions. Orthop Clin North Am. 1990;21(4):743–57.

    CAS  PubMed  Google Scholar 

  41. Gallay SH, McKee MD. Operative treatment of nonunions about the elbow. Clin Orthop Relat Res. 2000;370:87–101.

    Article  PubMed  Google Scholar 

  42. Papagelopoulos PJ, Morrey BF. Treatment of nonunion of olecranon fractures. J Bone Joint Surg Br. 1994;76(4):627–35.

    CAS  PubMed  Google Scholar 

  43. Liu SH, Henry M, Bowen R. Complications of type I coronoid fractures in competitive athletes: report of two cases and review of the literature. J Shoulder Elbow Surg. 1996;5(3):223–7.

    Article  CAS  PubMed  Google Scholar 

  44. Cobb TK, Beckenbaugh RD. Nonunion of the radial neck following fracture of the radial head and neck: case reports and a review of the literature. Orthopedics. 1998;21(3):364–8.

    CAS  PubMed  Google Scholar 

  45. Faber FW, Verhaar JA. Nonunion of radial neck fracture. An unusual differential diagnosis of tennis elbow, a case report. Acta Orthop Scand. 1995;66(2):176.

    Article  CAS  PubMed  Google Scholar 

  46. Horne G, Sim P. Nonunion of the radial head. J Trauma. 1985;25(5):452–3.

    Article  CAS  PubMed  Google Scholar 

  47. Lindenhovius AL, Buijze GA, Kloen P, Ring DC. Correspondence between perceived disability and objective physical impairment after elbow trauma. J Bone Joint Surg Am. 2008;90(10):2090–7.

    Article  PubMed  Google Scholar 

  48. Schneeberger AG, Adams R, Morrey BF. Semiconstrained total elbow replacement for the treatment of post-traumatic osteoarthrosis. J Bone Joint Surg Am. 1997;79(8):1211–22.

    CAS  PubMed  Google Scholar 

  49. Morrey BF. Post-traumatic contracture of the elbow. Operative treatment, including distraction arthroplasty. J Bone Joint Surg Am. 1990;72(4):601–18.

    CAS  PubMed  Google Scholar 

  50. Furman BD, Olson SA, Guilak F. The development of posttraumatic arthritis after articular fracture. J Orthop Trauma. 2006;20(10):719–25.

    Article  PubMed  Google Scholar 

  51. Lindenhovius A, Karanicolas PJ, Bhandari M, Ring D. Radiographic arthrosis after elbow trauma: interobserver reliability. J Hand Surg. 2012;37(4):755–9.

    Article  Google Scholar 

  52. Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987;216:109–19.

    PubMed  Google Scholar 

  53. Guitton TG, Zurakowski D, van Dijk NC, Ring D. Incidence and risk factors for the development of radiographic arthrosis after traumatic elbow injuries. J Hand Surg. 2010;35(12):1976–80.

    Article  Google Scholar 

  54. Chammas M. Post-traumatic osteoarthritis of the elbow. Orthop Traumatol Surg Res. 2014;100(1 Suppl):S15–24.

    Article  CAS  PubMed  Google Scholar 

  55. Libicher M, Freyschmidt J. Radiological diagnosis in contracted elbow joint. Value of CT and MRI. Orthopade. 2001;30(9):593–601. Radiologische Diagnostik beim kontrakten Ellenbogengelenk. Wertigkeit von CT und MRT.

    Article  CAS  PubMed  Google Scholar 

  56. Tsionos I, Leclercq C, Rochet JM. Heterotopic ossification of the elbow in patients with burns. Results after early excision. J Bone Joint Surg Br. 2004;86(3):396–403.

    Article  CAS  PubMed  Google Scholar 

  57. Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872–7.

    CAS  PubMed  Google Scholar 

  58. Green DP, McCoy H. Turnbuckle orthotic correction of elbow-flexion contractures after acute injuries. J Bone Joint Surg Am. 1979;61(7):1092–5.

    CAS  PubMed  Google Scholar 

  59. Doornberg JN, Ring D, Jupiter JB. Static progressive splinting for posttraumatic elbow stiffness. J Orthop Trauma. 2006;20(6):400–4.

    Article  PubMed  Google Scholar 

  60. Gelinas JJ, Faber KJ, Patterson SD, King GJ. The effectiveness of turnbuckle splinting for elbow contractures. J Bone Joint Surg Br. 2000;82(1):74–8.

    Article  CAS  PubMed  Google Scholar 

  61. Bonutti PM, Windau JE, Ables BA, Miller BG. Static progressive stretch to reestablish elbow range of motion. Clin Orthop Relat Res. 1994;303:128–34.

    PubMed  Google Scholar 

  62. Dickson RA. Reversed dynamic slings. A new concept in the treatment of post-traumatic elbow flexion contractures. Injury. 1976;8(1):35–8.

    Article  CAS  PubMed  Google Scholar 

  63. Shewring DJ, Beaudet M, Carvell JE. Reversed dynamic slings: results of use in the treatment of post-traumatic flexion contractures of the elbow. Injury. 1991;22(5):400–2.

    Article  CAS  PubMed  Google Scholar 

  64. Araghi A, Celli A, Adams R, Morrey B. The outcome of examination (manipulation) under anesthesia on the stiff elbow after surgical contracture release. J Shoulder Elbow Surg. 2010;19(2):202–8.

    Article  PubMed  Google Scholar 

  65. Duke JB, Tessler RH, Dell PC. Manipulation of the stiff elbow with patient under anesthesia. J Hand Surg. 1991;16(1):19–24.

    Article  CAS  Google Scholar 

  66. Kodde IF, van Rijn J, van den Bekerom MP, Eygendaal D. Surgical treatment of post-traumatic elbow stiffness: a systematic review. J Shoulder Elbow Surg. 2013;22(4):574–80.

    Article  PubMed  Google Scholar 

  67. Mansat P, Morrey BF. The column procedure: a limited lateral approach for extrinsic contracture of the elbow. J Bone Joint Surg Am. 1998;80(11):1603–15.

    CAS  PubMed  Google Scholar 

  68. Boerboom AL, de Meyier HE, Verburg AD, Verhaar JA. Arthrolysis for post-traumatic stiffness of the elbow. Int Orthop. 1993;17(6):346–9.

    Article  CAS  PubMed  Google Scholar 

  69. Cohen MS, Hastings 2nd H. Post-traumatic contracture of the elbow. Operative release using a lateral collateral ligament sparing approach. J Bone Joint Surg Br. 1998;80(5):805–12.

    Article  CAS  PubMed  Google Scholar 

  70. Husband JB, Hastings 2nd H. The lateral approach for operative release of post-traumatic contracture of the elbow. J Bone Joint Surg Am. 1990;72(9):1353–8.

    CAS  PubMed  Google Scholar 

  71. Kraushaar BS, Nirschl RP, Cox W. A modified lateral approach for release of posttraumatic elbow flexion contracture. J Shoulder Elbow Surg. 1999;8(5):476–80.

    Article  CAS  PubMed  Google Scholar 

  72. Gundlach U, Eygendaal D. Surgical treatment of posttraumatic stiffness of the elbow: 2-year outcome in 21 patients after a column procedure. Acta Orthop. 2008;79(1):74–7.

    Article  PubMed  Google Scholar 

  73. Marti RK, Kerkhoffs GM, Maas M, Blankevoort L. Progressive surgical release of a posttraumatic stiff elbow. Technique and outcome after 2–18 years in 46 patients. Acta Orthop Scand. 2002;73(2):144–50.

    Article  PubMed  Google Scholar 

  74. Mezera K, Hotchkiss RN. Fractures and dislocations of the elbow. In: Bucholz RW, Heckman JD, editors. Rockwood and Green’s fractures in adults. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2001. p. 921–52.

    Google Scholar 

  75. Higgs ZC, Danks BA, Sibinski M, Rymaszewski LA. Outcomes of open arthrolysis of the elbow without post-operative passive stretching. J Bone Joint Surg Br. 2012;94(3):348–52.

    Article  CAS  PubMed  Google Scholar 

  76. Sharma S, Rymaszewski LA. Open arthrolysis for post-traumatic stiffness of the elbow: results are durable over the medium term. J Bone Joint Surg Br. 2007;89(6):778–81.

    Article  CAS  PubMed  Google Scholar 

  77. Tosun B, Gundes H, Buluc L, Sarlak AY. The use of combined lateral and medial releases in the treatment of post-traumatic contracture of the elbow. Int Orthop. 2007;31(5):635–8.

    Article  PubMed  Google Scholar 

  78. Tan V, Daluiski A, Simic P, Hotchkiss RN. Outcome of open release for post-traumatic elbow stiffness. J Trauma. 2006;61(3):673–8.

    Article  PubMed  Google Scholar 

  79. Amillo S. Arthrolysis in the relief of post-traumatic stiffness of the elbow. Int Orthop. 1992;16(2):188–90.

    Article  CAS  PubMed  Google Scholar 

  80. Urbaniak JR, Hansen PE, Beissinger SF, Aitken MS. Correction of post-traumatic flexion contracture of the elbow by anterior capsulotomy. J Bone Joint Surg Am. 1985;67(8):1160–4.

    CAS  PubMed  Google Scholar 

  81. Gates 3rd HS, Sullivan FL, Urbaniak JR. Anterior capsulotomy and continuous passive motion in the treatment of post-traumatic flexion contracture of the elbow. A prospective study. J Bone Joint Surg Am. 1992;74(8):1229–34.

    PubMed  Google Scholar 

  82. Aldridge 3rd JM, Atkins TA, Gunneson EE, Urbaniak JR. Anterior release of the elbow for extension loss. J Bone Joint Surg Am. 2004;86-A(9):1955–60.

    PubMed  Google Scholar 

  83. Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res. 1982(166):188-92.

  84. Charalambous CP, Morrey BF. Posttraumatic elbow stiffness. J Bone Joint Surg Am. 2012;94(15):1428–37.

    Article  PubMed  Google Scholar 

  85. Park MJ, Chang MJ, Lee YB, Kang HJ. Surgical release for posttraumatic loss of elbow flexion. J Bone Joint Surg Am. 2010;92(16):2692–9.

    Article  PubMed  Google Scholar 

  86. Park MJ, Kim HG, Lee JY. Surgical treatment of post-traumatic stiffness of the elbow. J Bone Joint Surg Br. 2004;86(8):1158–62.

    Article  CAS  PubMed  Google Scholar 

  87. Cohen MS. Heterotopic ossification of the elbow. In: Jupiter JB, editor. The stiff elbow. 1st ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2006. p. 31–40.

    Google Scholar 

  88. Kamineni S, Savoie 3rd FH, ElAttrache N. Endoscopic extracapsular capsulectomy of the elbow: a neurovascularly safe technique for high-grade contractures. Arthroscopy. 2007;23(7):789–92.

    Article  PubMed  Google Scholar 

  89. Kelly EW, Bryce R, Coghlan J, Bell S. Arthroscopic debridement without radial head excision of the osteoarthritic elbow. Arthroscopy. 2007;23(2):151–6.

    Article  PubMed  Google Scholar 

  90. Kim SJ, Kim HK, Lee JW. Arthroscopy for limitation of motion of the elbow. Arthroscopy. 1995;11(6):680–3.

    Article  CAS  PubMed  Google Scholar 

  91. Lapner PC, Leith JM, Regan WD. Arthroscopic debridement of the elbow for arthrofibrosis resulting from nondisplaced fracture of the radial head. Arthroscopy. 2005;21(12):1492.

    Article  PubMed  Google Scholar 

  92. Nguyen D, Proper SI, MacDermid JC, King GJ, Faber KJ. Functional outcomes of arthroscopic capsular release of the elbow. Arthroscopy. 2006;22(8):842–9.

    Article  PubMed  Google Scholar 

  93. Lynch GJ, Meyers JF, Whipple TL, Caspari RB. Neurovascular anatomy and elbow arthroscopy: inherent risks. Arthroscopy. 1986;2(3):190–7.

    Article  CAS  PubMed  Google Scholar 

  94. Gallay SH, Richards RR, O’Driscoll SW. Intraarticular capacity and compliance of stiff and normal elbows. Arthroscopy. 1993;9(1):9–13.

    Article  CAS  PubMed  Google Scholar 

  95. Kelly EW, Morrey BF, O’Driscoll SW. Complications of elbow arthroscopy. J Bone Joint Surg Am. 2001;83-A(1):25–34.

    CAS  PubMed  Google Scholar 

  96. Driscoll SW. Arthroscopic osteocapsular arthroplasty. In: Yamaguchi K, King G, McKee M, O’Driscoll S, editors. Advanced reconstruction elbow. 1sth ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2007.

    Google Scholar 

  97. Salini V, Palmieri D, Colucci C, Croce G, Castellani ML, Orso CA. Arthroscopic treatment of post-traumatic elbow stiffness. J Sports Med Phys Fitness. 2006;46(1):99–103.

    CAS  PubMed  Google Scholar 

  98. Wu X, Wang H, Meng C, Yang S, Duan D, Xu W, et al. Outcomes of arthroscopic arthrolysis for the post-traumatic elbow stiffness. Knee Surg Sports Traumatol Arthrosc. 2015;23(9):2715–20.

    Article  PubMed  Google Scholar 

  99. Nowicki KD, Shall LM. Arthroscopic release of a posttraumatic flexion contracture in the elbow: a case report and review of the literature. Arthroscopy. 1992;8(4):544–7.

    Article  CAS  PubMed  Google Scholar 

  100. Cefo I, Eygendaal D. Arthroscopic arthrolysis for posttraumatic elbow stiffness. J Shoulder Elbow Surg. 2011;20(3):434–9.

    Article  PubMed  Google Scholar 

  101. Regan WD, Reilly CD. Distraction arthroplasty of the elbow. Hand Clin. 1993;9(4):719–28.

    CAS  PubMed  Google Scholar 

  102. Morrey BF. Posttraumatic stiffness: distraction arthroplasty. Orthopedics. 1992;15(7):863–9.

    CAS  PubMed  Google Scholar 

  103. Wright PE, Froimson AI, Stewart MJ. Interposition arthroplasty of the elbow. In: Morrey BF, editor. The elbow and its disorders. Philadelphia, PA: W.B. Saunders; 1993. p. 611–22.

    Google Scholar 

  104. Hausman MR, Birnbaum PS. Interposition elbow arthroplasty. Tech Hand Up Extrem Surg. 2004;8(3):181–8.

    Article  PubMed  Google Scholar 

  105. Cheng SL, Morrey BF. Treatment of the mobile, painful arthritic elbow by distraction interposition arthroplasty. J Bone Joint Surg Br. 2000;82(2):233–8.

    Article  CAS  PubMed  Google Scholar 

  106. Figgie MP, Inglis AE, Mow CS, Figgie 3rd HE. Total elbow arthroplasty for complete ankylosis of the elbow. J Bone Joint Surg Am. 1989;71(4):513–20.

    CAS  PubMed  Google Scholar 

  107. Aldridge 3rd JM, Lightdale NR, Mallon WJ, Coonrad RW. Total elbow arthroplasty with the Coonrad/Coonrad-Morrey prosthesis. A 10- to 31-year survival analysis. J Bone Joint Surg Br. 2006;88(4):509–14.

    Article  PubMed  Google Scholar 

  108. Gramstad GD, King GJ, O’Driscoll SW, Yamaguchi K. Elbow arthroplasty using a convertible implant. Tech Hand Up Extrem Surg. 2005;9(3):153–63.

    Article  PubMed  Google Scholar 

  109. Moro JK, King GJ. Total elbow arthroplasty in the treatment of posttraumatic conditions of the elbow. Clin Orthop Relat Res. 2000;370:102–14.

    Article  PubMed  Google Scholar 

  110. Kim JM, Mudgal CS, Konopka JF, Jupiter JB. Complications of total elbow arthroplasty. J Am Acad Orthop Surg. 2011;19(6):328–39.

    Article  PubMed  Google Scholar 

  111. Morrey BF, Adams RA, Bryan RS. Total replacement for post-traumatic arthritis of the elbow. J Bone Joint Surg Br. 1991;73(4):607–12.

    CAS  PubMed  Google Scholar 

  112. Heijink A, Morrey BF, Cooney 3rd WP. Radiocapitellar hemiarthroplasty for radiocapitellar arthritis: a report of three cases. J Shoulder Elbow Surg. 2008;17(2):e12–5.

    Article  PubMed  Google Scholar 

  113. Hohman DW, Nodzo SR, Qvick LM, Duquin TR, Paterson PP. Hemiarthroplasty of the distal humerus for acute and chronic complex intra-articular injuries. J Shoulder Elbow Surg. 2014;23(2):265–72.

    Article  PubMed  Google Scholar 

  114. Modabber MR, Jupiter JB. Reconstruction for post-traumatic conditions of the elbow joint. J Bone Joint Surg Am. 1995;77(9):1431–46.

    CAS  PubMed  Google Scholar 

  115. Lindenhovius AL, van de Luijtgaarden K, Ring D, Jupiter J. Open elbow contracture release: postoperative management with and without continuous passive motion. J Hand Surg. 2009;34(5):858–65.

    Article  Google Scholar 

  116. Szekeres M, King GJ. Total elbow arthroplasty. J Hand Ther. 2006;19(2):245–53.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA, 02114, USA

    Jos J. Mellema & Jesse B. Jupiter

  2. Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands

    Anneluuk L. C. Lindenhovius

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  1. Jos J. Mellema
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  3. Jesse B. Jupiter
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Correspondence to Jesse B. Jupiter.

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Mellema, J.J., Lindenhovius, A.L.C. & Jupiter, J.B. The posttraumatic stiff elbow: an update. Curr Rev Musculoskelet Med 9, 190–198 (2016). https://doi.org/10.1007/s12178-016-9336-9

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  • DOI: https://doi.org/10.1007/s12178-016-9336-9

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