Post-traumatic osteoarthritis of the elbow

Abstract Post-traumatic osteoarthritis of the elbow is an uncommon condition in which the clinical manifestations are often at variance with the radiological findings. In symptomatic forms, pain and stiffness are variably combined. When non-operative management fails, the decision to perform surgery...

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Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2014-02, Vol.100 (1), p.S15-S24
Main Author: Chammas, M
Format: Article
Language:English
Subjects:
Algorithms
Arthrography
Arthroplasty
Arthroplasty, Replacement, Elbow
Arthroscopy
Elbow
Elbow Joint - injuries
Elbow Joint - physiopathology
Elbow Joint - surgery
Follow-Up Studies
Fracture Fixation, Internal
Humans
Humeral Fractures - complications
Humeral Fractures - diagnosis
Humeral Fractures - physiopathology
Humeral Fractures - surgery
Intra-Articular Fractures - complications
Intra-Articular Fractures - diagnosis
Intra-Articular Fractures - physiopathology
Intra-Articular Fractures - surgery
Orthopedics
Osteoarthritis - diagnosis
Osteoarthritis - physiopathology
Osteoarthritis - surgery
Pain Measurement
Post-traumatic osteoarthritis
Postoperative Complications - physiopathology
Radius Fractures - complications
Radius Fractures - diagnosis
Radius Fractures - physiopathology
Radius Fractures - surgery
Range of Motion, Articular - physiology
Reoperation
Surgery
Tomography, X-Ray Computed
Ulna Fractures - complications
Ulna Fractures - diagnosis
Ulna Fractures - physiopathology
Ulna Fractures - surgery
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Summary:Abstract Post-traumatic osteoarthritis of the elbow is an uncommon condition in which the clinical manifestations are often at variance with the radiological findings. In symptomatic forms, pain and stiffness are variably combined. When non-operative management fails, the decision to perform surgery is taken on a case-by-case basis depending on age, activity level, patient discomfort, and osteoarthritis location and severity as assessed by CT scan arthrography. Elbow instability or subluxation should be sought. Post-traumatic elbow osteoarthritis raises difficult therapeutic problems in young patients. The goal of treatment is to obtain a low level of pain with sufficient motion range to ensure good function, while preserving future surgical options and delaying elbow arthroplasty to the extent possible.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2013.11.004