Static progressive versus dynamic splinting for posttraumatic elbow stiffness: a systematic review of 232 patients

Archives of Orthopaedic and Trauma Surgery
Ewout S VeltmanMichel P J Van Den Bekerom

Abstract

The elbow is prone to stiffness after trauma. To regain functional elbow motion, several conservative and surgical treatment options are available. Nonoperative treatment includes physical therapy, intra-articular injections with corticosteroids, and a static progressive or dynamic splinting program. The objective of this study was to perform a comprehensive review of the literature to evaluate the best current evidence for nonoperative treatment options for posttraumatic elbow stiffness. We performed a search of all studies on nonoperative treatment for elbow stiffness in human adults. All articles describing nonoperative treatment of elbow stiffness, written in the English, German, French or Dutch language, including human adult patients and with the functional outcome reported were included in this study. Eight studies (including 232 patients) met our eligibility criteria and were included for data analysis and pooling. These studies included one randomized controlled trial and seven retrospective cohort studies. Static progressive splinting was evaluated in 160 patients. The average pre-splinting range of motion of all elbows was 72°, which improved by 36° after splinting to an average post-splinting arc of motion of 108°. ...Continue Reading

References

Mar 4, 2000·The Journal of Bone and Joint Surgery. British Volume·J J GelinasG J King
May 23, 2006·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Sylvia A Dávila, Karen Johnston-Jones
Jul 11, 2006·Journal of Orthopaedic Trauma·Job N DoornbergJesse B Jupiter
Dec 12, 2007·The Journal of Hand Surgery·Anneluuk L C Lindenhovius, Jesse B Jupiter
Apr 7, 2009·The Journal of Hand Surgery·Peter J EvansJeffrey N Lawton
Oct 20, 2009·Journal of Shoulder and Elbow Surgery·Arash AraghiBernard Morrey
Dec 5, 2009·Journal of Shoulder and Elbow Surgery·Slif D UlrichMichael A Mont
Apr 30, 2010·Journal of Orthopaedic Surgery·Anil K BhatSurej Gopinathan Nair
Sep 17, 2010·The Journal of Bone and Joint Surgery. American Volume·Anneluuk L C LindenhoviusJesse B Jupiter
Nov 6, 2010·Journal of Shoulder and Elbow Surgery·Curtis Myden, Kevin Hildebrand
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Matthew SardelliBruce A MacWilliams
Apr 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Anneluuk L C LindenhoviusDavid Ring
Aug 3, 2012·The Journal of Bone and Joint Surgery. American Volume·Charalambos P Charalambous, Bernard F Morrey
Feb 5, 2013·Journal of Shoulder and Elbow Surgery·Izaäk F KoddeDenise Eygendaal
Nov 12, 2013·The Journal of Hand Surgery·Nathan G EverdingPeter J Evans
Feb 11, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gerardo L GallucciPablo De Carli
Mar 7, 2014·The Journal of Bone and Joint Surgery. American Volume·Job N DoornbergPeter Kloen
Jun 18, 2014·Strategies in Trauma and Limb Reconstruction·Ewout S VeltmanPeter Kloen

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Citations

Jan 17, 2016·The Orthopedic Clinics of North America·Ian McAlister, Stephen Andrew Sems
Jul 28, 2016·Maturitas·V N GibbsJ L Rees
Oct 3, 2018·Journal of Orthopaedic Trauma·Jetske ViveenMichel P J van den Bekerom
Jan 31, 2017·JBJS Reviews·Shiyang YuCunyi Fan
Feb 6, 2020·Shoulder & Elbow·Dafang ZhangEdward K Rodriguez
Jun 29, 2018·EFORT Open Reviews·Lars Adolfsson
Feb 6, 2020·EFORT Open Reviews·Jetske ViveenDenise Eygendaal
Apr 15, 2020·Archives of Orthopaedic and Trauma Surgery·Laurent A M HendrickxMichel P J van den Bekerom
Aug 21, 2020·EFORT Open Reviews·Izaäk F KoddeDenise Eygendaal
Mar 12, 2020·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Germaine SimCeleste Glasgow
Nov 21, 2020·Bone & Joint Open·Ziyang SunCunyi Fan
Jul 20, 2021·Journal of Clinical Orthopaedics and Trauma·Ahsan AkhtarAdam C Watts

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