{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:59:25Z","timestamp":1773568765981,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate arc of motion and complications following transhumeral anterior capsulectomy through a purely posterior approach with the Outerbridge\u2010Kashiwagi procedure in treating elbow stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who were treated for elbow stiffness between April 2003 and February 2023 were retrospectively identified. The inclusion criteria were an extension\/flexion arc deficit of at least 30\u00b0 and treatment with arthroscopic arthrolysis through posterior and posterolateral portals with humeral fenestration. Elbow joint range of motion and the Mayo Elbow Performance Score were assessed preoperatively, intraoperatively, at 6 weeks, and at final follow\u2010up. The follow\u2010up ended when the elbow became asymptomatic again or when the recovery was considered stable. Postoperative complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 30 patients (23 men\/7 women; 31 elbows; 1 bilateral\/29 unilateral) were included. Mean follow\u2010up was 11.1 months (1\u201064). Mean joint amplitudes intraoperatively increased in all areas of mobility, including extension\/flexion from 86\u00b0 to 132.6\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) and pronation\/supination from 163.9\u00b0 to 179.7\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .025). At the longest follow\u2010up, mean joint amplitude was increased from 86\u00b0 to 118.9\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002) in extension\/flexion and from 136.9\u00b0 to 173.9\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .022) in pronation\/supination. The mean deficit was reduced from 54\u00b0 to 21.1\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) in extension\/flexion and from 16.1\u00b0 to 6.1\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .006) in pronation\/supination. The mean gain in the extension\/flexion arc was 31.5\u00b0 and 10\u00b0 for the pronation\/supination arc. Loss in flexion\/extension was limited (mean: 14.2\u00b0, extreme: 50\u00b0). The study showed no neurologic complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic arthrolysis of a stiff elbow using a purely posterior approach with anterior capsulectomy via the Outerbridge\u2010Kashiwagi procedure was safe and effective. Clinical results showed improvement in joint range of motion in flexion\/extension and pronation\/supination, both intraoperatively and postoperatively, with no postoperative neurologic complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.101029","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T10:37:50Z","timestamp":1728988670000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Capsulectomy Through Humeral Fenestration in Arthroscopic Arthrolysis for Elbow Stiffness Is Safe and Effective"],"prefix":"10.1002","volume":"7","author":[{"given":"Cl\u00e9mence","family":"Lema\u00eetre","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Traumatology Surgery Rouen University Hospital Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Senioris","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery Clinique M\u00e9gival Saint Aubin\u2010sur\u2010Scie France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Duparc","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology Surgery Rouen University Hospital Rouen France"},{"name":"Centre d\u2019\u00e9tudes et des transformations des activit\u00e9s physiques et sportives (CETAPS, EA 3832) Mont\u2010Saint\u2010Aignan France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.05.002"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.09.002"},{"key":"e_1_2_2_4_2","first-page":"215","volume-title":"Monographie du GEEC Fracture de la t\u00eate radiale","author":"Duparc F.","year":"1998"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163060-00002"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-019-00601-6"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2022.103436"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.09.003"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.05.007"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2006.07.018"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-021-00420-4"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jassh.2005.08.003"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.02.068"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3032-3"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.01.099"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.05.022"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.11.010"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-022-05320-5"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.05.001"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000334"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231190381"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.12801"},{"key":"e_1_2_2_23_2","first-page":"246","article-title":"Osteoarthritis of the elbow joint: Intra\u2010articular changes and the special operative procedure. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"101029"}}