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Objective To investigate the situation of concomitant anxiety in posttraumatic elbow stiffness and analyze the risk factors for posttraumatic elbow stiffness.Methods Participants for this investigation were the outpatients who had sought special medical attention for elbow injury from September to October, 2017 and from May to June, 2018 at Department of Orthopaedic Trauma, Beijing Jishuitan Hospital. Their demographic and injury-related data ( gender, age, education, injury time, injury type, treatment and rehabilitation ) were collected through questionnaires. Self-rating Anxiety Scale ( SAS ) was used to evaluate their anxiety. The range of motion ( ROM ) of the elbow was measured by the same qualified orthopedist. The relationship between posttraumatic elbow stiffness and anxiety and risk factors for stiffness were analyzed sta-tistically. Results The proportion of concomitant anxiety ( 39.2%) in the patients with posttraumatic elbow stiffness was significantly higher than that in those without posttraumatic elbow stiffness ( 10.5%, P＝0.021 ) . The SAS score for the patients with posttraumatic elbow stiffness ( 47.6 ± 11.6 ) was significantly higher than that ( 38.9 ± 8.2 ) for those without posttraumatic elbow stiffness ( P＝0.004 ). Passive rehabil-itation was a risk factor for flexion-extension stiffness. Complex intra-articular fracture, high-energy injury and passive rehabilitation were risk factors for limited forearm rotation. Conclusions Our study suggests the comorbidity of posttraumatic elbow stiffness and anxiety. Complex intra-articular fracture, high-energy injury and passive rehabilitation are risk factors for forearm rotational stiffness after elbow trauma. Passive rehabil-itation is also a predictor of less range of flexion-extension of the elbow.
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PURPOSE: We evaluated the change of the ulnar variance (UV) as forearm rotation in patients with ulnocarpal impaction syndrome (UIS). METHODS: Twenty patients who suffered from ulnar side pain of the wrist and had abnormal lesions at ulno-basal side of the lunate in the radiologic examinations were included in this study. Their UVs in six wrist position (neutral, supination, pronation, neutral and grip, supination and grip, pronation and grip) were measured by the method of perpendiculars. UVs and the maximum change of UV in patients with UIS were compared with those of control group statistically. RESULTS: There were statistically significant differences in UVs of all forearm rotation and grip status. The maximum change of UV was in supination position to pronation and grip status for all cases. The mean maximum change of UV in patients with UIS was 2.03+/-1.03 mm, and that of control group was 1.86+/-0.86 mm. But there was no significant difference between them. The ulnar shortening osteotomy was performed for thirteen UIS patients, and one patient with osteoarthritis at distal radio-ulnar joint was operated with Darrach procedure. Six patients underwent conservative treatment. CONCLUSION: There were no significant differences in the maximum change of UV as forearm rotation between UIS patients and control group.
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Humanos , Antebrazo , Fuerza de la Mano , Articulaciones , Osteoartritis , Osteotomía , Pronación , Supinación , Cúbito , MuñecaRESUMEN
@#ObjectiveTo study the rehabilitation for the forearm rotation function handicap after the fracture of radius. Methods53 patients with the forearm rotation function handicap after operation for the fracture of radius were reviewed. ResultsThe patients were followed up for 2～7 years. The angles of pronation and supination in forearm were 23.47° and 34.42° before treatment, and were 66.59° and 78.56° after treatment （P<0.01）. The patients with the course of disease less than 2 months procured better forearm rotation function the those more than 2 months （P<0.01）. ConclusionThe forearm rotation function need to be prevented and rehabilitated early after the fracture of radius.