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Restoration of motion by contracture release

April 24th, 2007

Whether due to immobilization in a cast, extra (heterotopic)bone formation, capsular tightness---elbow stiffness may interfere tremendously with functional motion, and impair, indirectly, optimal function/use of the hand.

Fortunately, surgical techniques allow restoration of motion, when therapy alone is not successful. Postoperatively PT is critical and it is not unusual to treat the elbow with a single dose of radiation therapy to help prevent recurrent stiffness due to extra bone formation. In some cases, arthritic bone spurs and/or previously healed radial heads (after fracture) need to be resected as well.

Related Photos:

Limited elbow flexion before contracture release and radial head excision

Limited elbow extension before contracure release

Preoperative AP xray; note healed radial head fracture

preoperative lateral xray

Elbow flexion after contracture release and radial head excision

Elbow extension after surgery

AP xray after contracture release and radial head excision

Lateral xray after surgery

Related Videos:

Postoperative outcome after elbow contracture release and radial head excision