{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:55:56Z","timestamp":1788177356875,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T00:00:00Z","timestamp":1601769600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the effectiveness of arthroscopic management of posttraumatic elbow stiffness due to soft tissue problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 30 consecutive arthroscopic elbow releases for posttraumatic stiff elbow from November 2011 to December 2019 was conducted. Stiff elbows with bony problems, such as heterotopic ossification, intraarticular nonunion or malunion, and cartilage lesions were excluded from this study. Contracture and adhesion of soft tissue around the elbow were identified. Surgical treatments included arthroscopic capsulectomy, ligaments and muscle release, and ulnar nerve release. The results were evaluated using the Mayo elbow performance score (MEPS) and range of motion of the elbow. Surgery\u2010related complications were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients who underwent arthroscopic release were followed up for between 6 and 35\u2009months, with a mean follow\u2010up time of 10.1\u2009months. The postoperative elbow ROM was 123.2\u00b0\u2009\u00b1\u200919\u00b0, which was significantly different compared to the preoperative value of 68\u00b0\u2009\u00b1\u200932\u00b0. In addition, the MEPS score improved from 71.2\u2009\u00b1\u200910.3 preoperatively to 93.7\u2009\u00b1\u20096.6 at the final follow\u2010up, a mean improvement of 22.5 (range, 0\u201355; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Postoperative complications included five cases of prolonged drainage from the portal site, three transient nerve palsies, and one hematoma in the medial elbow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With full recognition by the surgeon of the pathologic changes of the soft tissue around the elbow, arthroscopic release is usually safe and effective for posttraumatic elbow stiffness without symptomatic bony problems.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12787","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T05:23:21Z","timestamp":1601875401000},"page":"1464-1470","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Arthroscopic Treatment of Posttraumatic Elbow Stiffness Due to Soft Tissue Problems"],"prefix":"10.1111","volume":"12","author":[{"given":"Junxi","family":"Dai","sequence":"first","affiliation":[{"name":"Department of Hand Surgery Huashan Hospital, Fudan University  Shanghai China"},{"name":"Key Laboratory of Hand Reconstruction Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guofeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery The Affiliated Hospital of Medical School of Ningbo University  Ningbo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shulin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Huashan Hospital, Fudan University  Shanghai China"},{"name":"Key Laboratory of Hand Reconstruction Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianguang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Huashan Hospital, Fudan University  Shanghai China"},{"name":"Key Laboratory of Hand Reconstruction Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery  Shanghai China"},{"name":"School of Rehabilitation Science Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6080-5415","authenticated-orcid":false,"given":"Jiuzhou","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Huashan Hospital, Fudan University  Shanghai China"},{"name":"Key Laboratory of Hand Reconstruction Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,4]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"26","article-title":"The posttraumatic stiff elbow","volume":"431","author":"Morrey BF","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_5_3_1","first-page":"9","article-title":"Intraarticular capacity and compliance of stiff and normal elbows","volume":"9","author":"Gallay SH","year":"1993","journal-title":"Art Ther"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.2106\/JBJS.K.00711","article-title":"Posttraumatic elbow stiffness","volume":"94","author":"Charalambos P","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072040-00019"},{"key":"e_1_2_5_6_1","first-page":"93","article-title":"The assessment and management of the stiff elbow","volume":"52","author":"Jupiter JB","year":"2003","journal-title":"Instr Course Lect"},{"key":"e_1_2_5_7_1","first-page":"228","volume-title":"Arthrolysis of the Posttraumatic Stiff Elbow. 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