Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 621-625 , September 2007

Comparison of elbow contracture release in elbows with and without heterotopic ossification restricting motion

  • Anneluuk L.C. Lindenhovius, MSc

      Affiliations

    • Harvard Medical School, Massachusetts General Hospital, Boston, MA
    • Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.
    • Anneluuk L. C. Lindenhovius, MSc, and Durk S. Linzel, BSc, contributed equally to this work.
    • ,
  • Durk S. Linzel, BSc

      Affiliations

    • Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.
    • Anneluuk L. C. Lindenhovius, MSc, and Durk S. Linzel, BSc, contributed equally to this work.
    • ,
  • Job N. Doornberg, MSc

      Affiliations

    • Harvard Medical School, Massachusetts General Hospital, Boston, MA
    • Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.
    • ,
  • David C. Ring, MD

      Affiliations

    • Harvard Medical School, Massachusetts General Hospital, Boston, MA
    • Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.
    • Corresponding Author InformationReprint requests: David Ring, MD, Orthopaedic Hand and Upper Extremity Service, Yawkey Center, Suite 2100, 55 Fruit St, Boston, MA 02114.
    • ,
  • Jesse B. Jupiter, MD

      Affiliations

    • Harvard Medical School, Massachusetts General Hospital, Boston, MA
    • Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA.

References 

  1. Aldridge JM, Atkins TA, Gunneson EE, Urbaniak JR. Anterior release of the elbow for extension loss. J Bone Joint Surg Am. 2004;86:1955–1960
  2. Brady LW. Radiation-induced sarcomas of bone. Skeletal Radiol. 1979;4:72–78
  3. Broberg MA, Morrey BF. Results of delayed excision of the radial head after fracture. J Bone Joint Surg Am. 1986;68:669–674
  4. Broberg MA, Morrey BF. Results of treatment of fracture-dislocations of the elbow. Clin Orthop Relat Res. 1987;109–119
  5. Cohen MS, Hastings H. Operative release for elbow contracture: the lateral collateral ligament sparing technique. Orthop Clin North Am. 1999;30:133–139
  6. Cohen MS, Hastings H. Post-traumatic contracture of the elbow (Operative release using a lateral collateral ligament sparing approach). J Bone Joint Surg Br. 1998;80:805–812
  7. Garland DE, Hanscom DA, Keenan MA, Smith C, Moore T. Resection of heterotopic ossification in the adult with head trauma. J Bone Joint Surg Am. 1985;67:1261–1269
  8. Gates HS, Sullivan FL, Urbaniak JR. Anterior capsulotomy and continuous passive motion in the treatment of post-traumatic flexion contracture of the elbow (A prospective study). J Bone Joint Surg Am. 1992;74:1229–1234
  9. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976;58:453–458
  10. Heyd R, Strassmann G, Schopohl B, Zamboglou N. Radiation therapy for the prevention of heterotopic ossification at the elbow. J Bone Joint Surg Br. 2001;83:332–334
  11. Hoffer MM, Brody G, Ferlic F. Excision of heterotopic ossification about elbows in patients with thermal injury. J Trauma. 1978;18:667–670
  12. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) (The Upper Extremity Collaborative Group (UECG)). [published erratum appears in Am J Ind Med 1996;30:372] Am J Ind Med. 1996;29:602–608
  13. Itoh Y, Saegusa K, Ishiguro T, Horiuchi Y, Sasaki T, Uchinishi K. Operation for the stiff elbow. Int Orthop. 1989;13:263–268
  14. Jupiter J. Heterotopic ossification about the elbow. Instr Course Lect. 1991;40:41–44
  15. Kim JH, Chu FC, Woodard HQ, Melamed MR, Huvos A, Cantin J. Radiation-induced soft-tissue and bone sarcoma. Radiology. 1978;129:501–508
  16. King GJ, Richards RR, Zuckerman JD, Blasier R, Dillman C, Friedman RJ, et al. A standardized method for assessment of elbow function (Research Committee, American Shoulder and Elbow Surgeons). J Shoulder Elbow Surg. 1999;8:351–354
  17. Mansat P, Morrey BF. The column procedure: a limited lateral approach for extrinsic contracture of the elbow. J Bone Joint Surg Am. 1998;80:1603–1615
  18. Marti RK, Kerkhoffs GM, Maas M, Blankevoort L. Progressive surgical release of a posttraumatic stiff elbow (Technique and outcome after 2-18 years in 46 patients). Acta Orthop Scand. 2002;73:144–150
  19. McAuliffe JA, Wolfson AH. Early excision of heterotopic ossification about the elbow followed by radiation therapy. J Bone Joint Surg Am. 1997;79:749–755
  20. Mezera K, Hotchkiss RN. Fractures and dislocations of the elbow. In:  Bucholz RW,  Heckman JD editor. Rockwood and Green’s fractures in adults. 5th ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 921–952
  21. Modabber MR, Jupiter JB. Reconstruction for post-traumatic conditions of the elbow joint. J Bone Joint Surg Am. 1995;77:1431–1446
  22. Moritomo H, Tada K, Yoshida T. Early, wide excision of heterotopic ossification in the medial elbow. J Shoulder Elbow Surg. 2001;10:164–168
  23. Morrey BF, An KN, Chao EYS. Functional evaluation of the elbow. In:  Morrey BF editors. The elbow and its disorders. 2nd ed.. Philadelphia: Saunders; 1993;p. 86–97
  24. Orzel JA, Rudd TG. Heterotopic bone formation: clinical, laboratory, and imaging correlation. J Nucl Med. 1985;26:125–132
  25. Park MJ, Kim HG, Lee JY. Surgical treatment of post-traumatic stiffness of the elbow. JBJS Br. 2004;86:1158–1162
  26. Peterson SL, Mani MM, Crawford CM, Neff JR, Hiebert JM. Postburn heterotopic ossification: insights for management decision making. J Trauma. 1989;29:365–369
  27. Poggi MM, Thomas BE, Johnstone PA. Excision and radiotherapy for heterotopic ossification of the elbow. Orthopedics. 1999;22:1059–1061
  28. Ring D, Jupiter JB. Operative release of ankylosis of the elbow due to heterotopic ossification (Surgical technique). J Bone Joint Surg Am. 2004;86(Suppl 1):2–10
  29. Viola RW, Hanel DP. Early “simple” release of posttraumatic elbow contracture associated with heterotopic ossification. J Hand Surg [Am]. 1999;24:370–380
  30. Viola RW, Hastings H. Treatment of ectopic ossification about the elbow. Clin Orthop Relat Res. 2000;65–86

 Unrestricted research support was provided by Stichting Professor Michael van Vloten Fonds, AO Foundation, Wright Medical, Joint Active Systems, and Anna Fonds.

PII: S1058-2746(07)00321-7

doi: 10.1016/j.jse.2007.01.005

Journal of Shoulder and Elbow Surgery
Volume 16, Issue 5 , Pages 621-625 , September 2007

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