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KMID : 0828620050090010060
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Journal of Korean Arthroscopy Society
2005 Volume.9 No. 1 p.60 ~ p.64
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The Impingement of The Posterior Elbow in The Heavy Workers
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Moon Young-Lae
Kim Dong-Hwi
Lee Chul-Gab
Lee Young-Kwan
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Abstract
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Purpose: To describe the impingement of the osteophyte between the olecranon process and olecranon fossa and to understand the effect of removing the lesion on the elbow extension in heavy workers.
Materials and Methods: Arthroscopy was performed to elbow of heavy industrial workers who complained painful limitation of elbow extension. 6 patients(7cases) with average age of 43 year were selected. The average ROM showed flexion contracture of 17° and further flexion of 87°.
Results: In all cases, after the operation two months follow up, mean flexion contracture improved from 17°to 2°with further flexion from 87°to 122°. After the operation 1 year follow up, the mean flexion contracture was 3°and further flexion was 113°.
Pain relief within acquired range of motion was achieved in all cases and there was no complication in this series.
Conclusion: Selective removal of the impingement bony spur for treatment of flexion contracture in the patient with chronic cumulative trauma disorder patients appear to be effective method to control pain, recover joint movement and allow early rehabilitation.
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KEYWORD
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Elbow, Flexion contracture, Posterior impingement, Spur excision
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