Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Posttraumatic Stiffness

외상 후 동결견

  • Choi, Chang-Hyeok (Department of Orthopaedic Surgery, School of Medicine, Catholic University of Daegu)
  • 최창혁 (대구가톨릭대학교 의과대학 정형외과학교실)
  • Published : 2006.06.30
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Abstract

The patient with a posttraumatic stiffness frequently has a history of prolonged immobilization after a traumatic event. Adhesions in the extraarticular humeroscapular motion interface may be present independently or in combination with intraarticular capsular contractures. A through history and physical examination usually reveal the cause and anatomic location of stiffness. Passive stretching exercise program is effective as a first line treatment, but manipulation under anesthesia is usually not effective because of potential complication such as fracture, tendon rupture and neurologic injury. The humeroscapular motion interface adhesion can be released either open or arthroscopically. The combined technique coupled with an aggressive rehabilitation program can provide more effective motion restoration and pain relief.

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References

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