Description
In this engaging presentation from the Edinburgh Trauma Symposium, consultant orthopaedic surgeon Paul Jenkins shares his insights into the complexities of post-traumatic elbow stiffness. Jenkins introduces himself and discusses his background, particularly focusing on elbow complications, detailing his transition into this specialized practice from his predecessor.
He lays out the agenda, emphasizing the importance of understanding the definition of post-traumatic elbow stiffness, preventing its occurrence, and exploring management strategies for patients who experience it. He reviews normative data regarding elbow range of motion, distinguishing between active and passive movements, and delves into historical studies that inform current understanding.
Jenkins effectively summarizes the functional arc of movement needed for elbow activities, revealing that most functional tasks can be performed within a flexion range of 30 to 130 degrees. He highlights that patients often have higher expectations post-surgery, aiming for full extension and greater flexibility than previously reported standards.
He discusses potential intrinsic and extrinsic causes of elbow stiffness, examining the joint's anatomy and the significant impact of soft tissue structures. He emphasizes the principle that "prevention is better than cure," advocating for immediate post-operative movement and stable fixation to avoid complications. Jenkins points out the role of physiotherapy in rehabilitation and the importance of tailored patient education regarding mobility.
The presentation covers both non-operative and surgical management, including techniques such as splinting and arthrolysis, supported by clinical evidence. Jenkins creatively engages the audience with humorous references and rhetorical questions, connecting with them on a personal level while addressing clinical complexities.
He concludes with a reminder of the need for a multidisciplinary approach for successful outcomes and shares an invitation for further exploration on the subject in a specific orthopedic trauma publication. The session ends with applause, showcasing the audience's appreciation for the in-depth knowledge shared.