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The stiff elbow.
- Article from:
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Bulletin of the NYU Hospital for Joint Diseases
- Article date:
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January 1, 2007
- Author:
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;
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Copyright informationCOPYRIGHT 2007 J. Michael Ryan Publishing Co. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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Contracture of the elbow is a common problem that can be associated with significant morbidity. Elbow contractures may be classified as either intrinsic (intra-articular) or extrinsic (extra-articular). Patients who have known risk factors for heterotopic ossification (HO) formation and who sustain significant elbow trauma should be given prophylaxis in the form of either indomethacin or radiation therapy. Early excision of HO has been shown to be safe and effective.
A careful assessment of elbow range of motion (ROM) is mandatory. From the history and physical examination, one needs to determine whether the patient has functionally limiting elbow ROM. Nonoperative ...
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