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Early surgical anterior release for congenital and isolated elbow contracture in flexion: A case report of a 16-month-old child
- Source :
- Orthopaedics & Traumatology: Surgery & Research. (4):465-469
- Publisher :
- Published by Elsevier Masson SAS
-
Abstract
- SummaryIsolated congenital elbow contracture is a rare upper-extremity disorder and there are few data about management of this condition. Authors report their experience after aggressive management of children with isolated congenital elbow contracture in flexion. Because of total absence of range of motion (ROM) improvement despites physical therapy (ROM 90–120°) and bone deformity, an anterior surgical release of the elbow was performed through an extensive lateral approach, at sixteen months of age. After surgery, this child was treated by three casts at maximal gained extension followed by sequential Turnbuckles splints. After five years of follow-up, the result was excellent with ROM 5–135°, normal function and absence of growth disturbance. The limiting factor of this protocol was excessive traction in elbow extension on the neurovascular structures, especially the radial nerve. This treatment represents an aggressive management with multiple general anaesthesia, but was found to be a valid option.
- Subjects :
- Male
musculoskeletal diseases
medicine.medical_specialty
Contracture
Elbow
Electromyography
Congenital
medicine
Humans
Orthopedics and Sports Medicine
General anaesthesia
Orthopedic Procedures
Range of Motion, Articular
Children
Radial nerve
Physical Therapy Modalities
medicine.diagnostic_test
business.industry
Surgical release
Infant
Neurovascular bundle
musculoskeletal system
Magnetic Resonance Imaging
Surgery
body regions
Splints
Casts, Surgical
Elbow joint
medicine.anatomical_structure
medicine.symptom
Range of motion
business
Flexion
Subjects
Details
- Language :
- English
- ISSN :
- 18770568
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Orthopaedics & Traumatology: Surgery & Research
- Accession number :
- edsair.doi.dedup.....696dedc4c89cdce111c1c51d10d6d57a
- Full Text :
- https://doi.org/10.1016/j.otsr.2012.02.002