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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
A Journal on Applied Physiology, Biomechanics, Preventive Medicine,
Sports Medicine and Traumatology, Sports Psychology
Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111
Original articles SPORT INJURIES AND REHABILITATION
The Journal of Sports Medicine and Physical Fitness 2006 March;46(1):99-103
Arthroscopic treatment of post-traumatic elbow stiffness
Salini V. 1, Palmieri D. 1, Colucci C. 1, Croce G. 2, Castellani M. L. 1, Orso C. A. 1
1 Orthopedic and Traumatologic Department G. D'Annunzio University, Chieti, Italy
2 Anesthesia and Reanimation Department G. D'Annunzio University, Chieti, Italy
Aim. The treatment of post-traumatic elbow stiffness has seen many important changes over the years, particularly through the development of arthroscopy, greater knowledge of anatomy and improvements in operative techniques, that reduce the incidence of complications and facilitate postoperative recovery. In this study mid-term clinical results of arthroscopy for post-traumatic elbow stiffness are evaluated in 15 sporting patients, with an average age of 32 years.
Methods. Eight patients reported post-traumatic stiffness due to fracture of the radial head, 3 to fracture-dislocation, 1 to fracture of the radial diaphysis complicated by osteosynthesis, and the remaining 3 patients to stress syndromes with osteochondral detachment. Surgical treatment consists in debridement, arthroscopic capsular release, and removal of bone fragments by arthroscopy. Patients were followed up from 4 up to 36 months, with a mean follow-up time of 18 months.
Results. Results obtained have been good to excellent in 84% of cases with an average range in postoperative movement of 13°-137° and reduction in pain symptomatology. The statistic results obtained from this study, under the same conditions and with a confidence interval _=0.01, show that the treatment will have favorable outcomes in 63% of patients of entire population (0.6285