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- Talk
- Canada
Causes of Elbow Stiffness After Trauma - Overview and Malunion Identification
Description
The presentation discusses the causes and management of elbow stiffness following trauma, emphasizing its multifactorial nature. Dr. Alexandre Leclerc outlines the normal range of motion for the elbow and reiterates that loss of motion can significantly impact functionality, possibly requiring surgical intervention in some cases. Various intrinsic (intra-articular damage, loose bodies, synovitis) and extrinsic factors (capsular issues) are identified as potential contributors to stiffness. Risk factors include severity of trauma, immobilization duration, and associated surgeries.
The evaluation of elbow stiffness should involve a thorough examination of range of motion, pain during movement, and possible ulnar nerve dysfunction. Imaging such as X-rays and CT scans may be required to diagnose underlying issues. The presentation highlights two types of stiffness: soft tissue and bony stiffness, and explains the mechanisms leading to contractures following injuries, including inflammatory responses and the role of myofibroblasts.
Dr. Leclerc stresses the importance of conservative management methods, including gentle motion exercises, to improve range of motion over time, while cautioning against aggressive manipulation. He concludes with insights on heterotopic ossification (HO) associated with trauma, detailing classification and incidence, as well as the importance of timely surgical intervention to mitigate stiffness. Overall, the talk underscores the complexity of elbow injuries and the necessity for careful diagnosis and treatment planning.