➢ The elbow is prone to the formation of heterotopic ossification after trauma. Elbow contracture due to heterotopic ossification leads to compromised range of motion and disabilities in performing daily activities.
➢ The treatment of elbow contracture is challenging and requires a multidisciplinary assessment.
➢ Nonoperative treatment is appropriate for patients within 6 months after the injury to counter the progressive loss of motion during the maturation of heterotopic bone.
➢ Operative intervention is indicated if the functional arc of motion cannot be maintained.
➢ Open arthrolysis combined with heterotopic excision, ulnar nerve decompression and transposition, and application of a hinged external fixator are effective interventions for improving elbow function.
➢ A prolonged and rigorous rehabilitation protocol after elbow release is important for preserving the arc of motion achieved during surgery.
Investigation performed at the Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
Disclosure: The authors, their immediate families, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of this article.
- Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated