MANIPULATION OF THE STIFF ELBOW WITH PATIENT UNDER ANESTHESIA

被引：28

作者：

DUKE, JB

TESSLER, RH

DELL, PC

机构：

[1] Department of Orthopaedics, University of Florida, Gainesville, Florida

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 01期

关键词：

D O I：

10.1016/S0363-5023(10)80005-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Eleven patients had elbow manipulation under general anesthesia to improve a dysfunctional range of motion. Six (55%) patients improved their motion, three (27%) patients had no significant change, and two (18%) patients lost motion. Type of injury, extermity, dominance, previous surgical procedures, delay to manipulation, or use of postoperative steroid injections and continuous passive motion did not correlate with successful results. Two transient sensory ulnar neuropathies were the only complications and no heterotopic bone formation or exacerbation was observed. Manipulation under anesthesia should be considered in patients with a dysfunctional elbow range of motion after failure of well-supervised rehabilitation.

引用

页码：19 / 24

页数：6

共 26 条

[11]

Kessler I, Arthrolysis of the elbow, Elbow joint, (1985)

[12]

Seth MK, Kaurana JK, Bone ankylosis of the elbow after burns, J Bone Joint Surg, 67 B, pp. 747-749, (1985)

[13]

Smith FM, Surgery of the elbow, (1972)

[14]

Wilson PD, Capsulectomy for the relief of flexion contractures of the elbow following fracture, J Bone Joint Surg, 26, pp. 71-86, (1944)

[15]

Garland DE, Razza BE, Waters RL, Forceful joint manipulation in head-injured adults with heterotopic ossification, Clin Orthop, 169, pp. 133-138, (1982)

[16]

Stover SL, Hathway CJ, Zeiger HE, Heterotopic ossification in spinal cord-injured patients, Arch Phys Med Rehabil, 56, pp. 199-204, (1975)

[17]

Wharton GW, Morgan TH, Ankylosis in the paralyzed patient, J Bone Joint Surg, 52 A, pp. 105-112, (1970)

[18]

Enneking WF, Horowitz M, The intra-articular effects of immobilization on the human knee, J Bone Joint Surg, 54 A, pp. 973-985, (1972)

[19]

Evans EB, Eggers GWN, Butler JK, Experimental immobilization and remobilization of rat knee joints, J Bone Joint Surg, 42 A, pp. 737-758, (1960)

[20]

Akeson WH, An experimental study of joint stiffness, J Bone Joint Surg, 43 A, pp. 1022-1024, (1961)

← 1 2 3 →