Elbow arthroscopy for arthrofibrosis after type I radial head fractures

Abstract

The purpose of this study was to provide emphasis on recognizing arthrofibrosis as a potential complication of nondisplaced radial head fractures and the role of arthroscopy in its management. This series consists of five patients treated with arthroscopic debridement for arthrofibrosis after type I radial head fractures. Arthroscopy was considered only if the patient's range of motion had plateaued with significant residual loss of motion after an aggressive physical therapy program. Arthroscopy was performed an average of 6 months postinjury, and follow-up averaged 24 months. The primary complaint was limitation of motion, especially extension, which was improved in all cases. A secondary complaint, painful crepitation, was also subjectively improved in all patients. There were no complications. Arthrofibrosis after type I radial head fractures is a well-recognized entity. Arthroscopic debridement may be a useful adjunct in its management for patients with significant residual functional deficit after an aggressive conservative program.