Arthroscopic release of a posttraumatic flexion contracture in the elbow: A case report and review of the literature
Open arthrotomy has been the standard of treatment for posttraumatic flexion contractures of the elbow. Utilizing standard arthroscopic techniques combined with electrocautery, anterior capsulotomy was performed without complication. Immediate improvement in extension was demonstrated. Multiple cada...
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Veröffentlicht in: | Arthroscopy 1992, Vol.8 (4), p.544-547 |
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description | Open arthrotomy has been the standard of treatment for posttraumatic flexion contractures of the elbow. Utilizing standard arthroscopic techniques combined with electrocautery, anterior capsulotomy was performed without complication. Immediate improvement in extension was demonstrated. Multiple cadaveric dissections evidenced the safety of the approach as the humeral capsular attachment is isolated from the neurovascular structures by the brachialis muscle. This technique serves to underscore the utility of elbow arthroscopy in patients with dysfunction previously only amenable to open joint procedures. |
doi_str_mv | 10.1016/0749-8063(92)90024-6 |
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Utilizing standard arthroscopic techniques combined with electrocautery, anterior capsulotomy was performed without complication. Immediate improvement in extension was demonstrated. Multiple cadaveric dissections evidenced the safety of the approach as the humeral capsular attachment is isolated from the neurovascular structures by the brachialis muscle. This technique serves to underscore the utility of elbow arthroscopy in patients with dysfunction previously only amenable to open joint procedures.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/0749-8063(92)90024-6</identifier><identifier>PMID: 1466720</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Arthroscopy - methods ; Athletic Injuries - surgery ; Biological and medical sciences ; Cadaver ; Contracture - surgery ; Elbow ; Elbow Joint - anatomy & histology ; Elbow Joint - injuries ; Elbow Joint - surgery ; Electrocoagulation ; Flexion contracture ; Humans ; Male ; Medical sciences ; Orthopedic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Utilizing standard arthroscopic techniques combined with electrocautery, anterior capsulotomy was performed without complication. Immediate improvement in extension was demonstrated. Multiple cadaveric dissections evidenced the safety of the approach as the humeral capsular attachment is isolated from the neurovascular structures by the brachialis muscle. This technique serves to underscore the utility of elbow arthroscopy in patients with dysfunction previously only amenable to open joint procedures.</description><subject>Adult</subject><subject>Arthroscopy - methods</subject><subject>Athletic Injuries - surgery</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Contracture - surgery</subject><subject>Elbow</subject><subject>Elbow Joint - anatomy & histology</subject><subject>Elbow Joint - injuries</subject><subject>Elbow Joint - surgery</subject><subject>Electrocoagulation</subject><subject>Flexion contracture</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQhi1EVZbCG4DkA0JwCIxjx044IK0qKEiVuMDZciYT1SgbB9uh9O1x2FW59WTL8_2_xh9jLwS8EyD0ezCqq1rQ8k1Xv-0AalXpR2wnmlpXspbiMdvdI0_Y05R-AoCUrTxn50JpbWrYsbyP-SaGhGHxyCNN5BLxMHLHl5Byjm49uFxG40R_fJg5hrk8Yl4jcT_zfEOcpj7cfuB7jls20hJi5m4eyvW3p9utbcMmnym6LfiMnY1uSvT8dF6wH58_fb_8Ul1_u_p6ub-uULY6Vw1Rp0G5jho3jL1uETrTDEIgGKGwN64dDAAOfa2xlb0koPJ5MyrolSGUF-z1sXeJ4ddKKduDT0jT5GYKa7Km2KhVWxdQHUEsKlKk0S7RH1y8swLsJttuJu1m0na1_Sfb6hJ7eepf-wMN_0NHu2X-6jR3Cd00RjejT_eYUo0wZqv5eMSouCjGok3oaUYafCTMdgj-4T3-AnYSnHg</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>Nowicki, Kevin D.</creator><creator>Shall, Lawrence M.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>Arthroscopic release of a posttraumatic flexion contracture in the elbow: A case report and review of the literature</title><author>Nowicki, Kevin D. ; Shall, Lawrence M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-5ee9604a9e5adfb68c0975d11c0714cb7a8d700cdb26c83b3e0e5267f40b47ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Arthroscopy - methods</topic><topic>Athletic Injuries - surgery</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Contracture - surgery</topic><topic>Elbow</topic><topic>Elbow Joint - anatomy & histology</topic><topic>Elbow Joint - injuries</topic><topic>Elbow Joint - surgery</topic><topic>Electrocoagulation</topic><topic>Flexion contracture</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nowicki, Kevin D.</creatorcontrib><creatorcontrib>Shall, Lawrence M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nowicki, Kevin D.</au><au>Shall, Lawrence M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic release of a posttraumatic flexion contracture in the elbow: A case report and review of the literature</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>1992</date><risdate>1992</risdate><volume>8</volume><issue>4</issue><spage>544</spage><epage>547</epage><pages>544-547</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Open arthrotomy has been the standard of treatment for posttraumatic flexion contractures of the elbow. Utilizing standard arthroscopic techniques combined with electrocautery, anterior capsulotomy was performed without complication. Immediate improvement in extension was demonstrated. Multiple cadaveric dissections evidenced the safety of the approach as the humeral capsular attachment is isolated from the neurovascular structures by the brachialis muscle. This technique serves to underscore the utility of elbow arthroscopy in patients with dysfunction previously only amenable to open joint procedures.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>1466720</pmid><doi>10.1016/0749-8063(92)90024-6</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Arthroscopy - methods Athletic Injuries - surgery Biological and medical sciences Cadaver Contracture - surgery Elbow Elbow Joint - anatomy & histology Elbow Joint - injuries Elbow Joint - surgery Electrocoagulation Flexion contracture Humans Male Medical sciences Orthopedic surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
title | Arthroscopic release of a posttraumatic flexion contracture in the elbow: A case report and review of the literature |
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