| Posttraumatic Stiffness |
| Chang-Hyuk Choi |
| Department of Orthopaedic Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea |
| 외상 후 동결견 |
| 최창혁 |
| 대구가톨릭대학교 의과대학 정형외과학교실 |
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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. |
| Key Words:
Post traumatic Stiffness, Humeroscapular motion interface, Open, Arthroscopic release |
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