关节镜下尺骨鹰嘴窝、冠突窝成形术治疗肘关节屈伸活动受限

Treatment of Elbow Flexion and Extension Activity Limitation by Arthroscopic Olecranon Fossa and Coronoid Fossa Plasty

目的 对肘关节屈伸活动受限患者关节镜下行尺骨鹰嘴窝、冠突窝成形手术疗效的探讨.方法 2009年11月～2010年12月选择肘关节屈伸活动受限患者17例,行关节镜下尺骨鹰嘴窝、冠突窝成形术,术后随访6～8个月,测定术前、术后的肘关节最大伸曲角度,以Mayo肘关节评分评价肘关节功能.结果 患者肘关节疼痛明显缓解或消失,关节屈伸功能较术前得到明显改善,Mayo肘关节评分由术前（52.3±5.5）分提高到（86.3±6.7）分（P＜0.05）,优良率达到88.2％.结论 肘关节镜下尺骨鹰嘴窝、冠突窝成形术是治疗肘关节屈伸活动受限的有效方法.

Objective To evaluate the efficacy of the arthroscopy in the treatment of elbow flexion and extension activity limitation. Methods Seventeen cases with elbow flexion and extension activity limitation were selected between November 2009 and December 2010. The treatment was all performed by arthroscopic olecranon fossa and coronoid fossa plasty. All patients were followed up for 6 - 8 months, the preoperative range of motion and postoperative range of motion were measured and the Mayoelbow score to evaluate the function of elbow were used. Results Patients with elbow pain were relieved or disappeared, joint flexion and extension functions had been significantly improved compared . with preoperative. Mayo elbow score from preoperative （ 52.3 ± 5.5 ） points to （ 86.3± 6.7 ） points （ P 〈 0.05 ）. The excellent rate was 88.2%. Conclusion Arthroscopic olecranon fossa and coronoid fossa plasty is a useful way to treat the limited elbow flexion and extension activities.