Elbow Stiffness and Contractures

Question 1

What is the functional arc of motion for the elbow?

Answer 1

30-130°

Question 2

What are the non-operative treatment options for elbow contracture?

Answer 2

If 40° treat with static splinting

Question 3

What are the operative treatment options for elbow contracture?

Answer 3

1) Osteophyte excision, loose body removal
2) Interpositional arthroplasty (young)
3) TEA (old and low demand)
4) Capsular release +/- release of posterior MCL

Question 4

If contracted what can lead to loss of elbow flexion? Extension?

Answer 4

Flexion- posterior band of MCL

Extension- anterior capsule