TY - JOUR
T1 - Arthrofibrosis Nightmares
T2 - Prevention and Management Strategies
AU - Lee, Dustin R.
AU - Therrien, Erik
AU - Song, Bryant M.
AU - Camp, Christopher L.
AU - Krych, Aaron J.
AU - Stuart, Michael J.
AU - Abdel, Matthew P.
AU - Levy, Bruce A.
N1 - Publisher Copyright:
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Arthrofibrosis (AF) is an exaggerated immune response to a proinflammatory insult leading to pathologic periarticular fibrosis and symptomatic joint stiffness. The knee, elbow, and shoulder are particularly susceptible to AF, often in the setting of trauma, surgery, or adhesive capsulitis. Prevention through early physiotherapeutic interventions and anti-inflammatory medications remain fundamental to avoiding motion loss. Reliable nonoperative modalities exist and outcomes are improved when etiology, joint involved, and level of dysfunction are considered in the clinical decision making process. Surgical procedures should be reserved for cases recalcitrant to nonoperative measures. The purpose of this review is to provide an overview of the current understanding of AF pathophysiology, identify common risk factors, describe prevention strategies, and outline both nonoperative and surgical treatment options. This manuscript will focus specifically on sterile AF of the knee, elbow, and shoulder.
AB - Arthrofibrosis (AF) is an exaggerated immune response to a proinflammatory insult leading to pathologic periarticular fibrosis and symptomatic joint stiffness. The knee, elbow, and shoulder are particularly susceptible to AF, often in the setting of trauma, surgery, or adhesive capsulitis. Prevention through early physiotherapeutic interventions and anti-inflammatory medications remain fundamental to avoiding motion loss. Reliable nonoperative modalities exist and outcomes are improved when etiology, joint involved, and level of dysfunction are considered in the clinical decision making process. Surgical procedures should be reserved for cases recalcitrant to nonoperative measures. The purpose of this review is to provide an overview of the current understanding of AF pathophysiology, identify common risk factors, describe prevention strategies, and outline both nonoperative and surgical treatment options. This manuscript will focus specifically on sterile AF of the knee, elbow, and shoulder.
KW - Arthrofibrosis prevention/treatment
KW - Elbow
KW - Knee
KW - Lyses of adhesions
KW - Manipulation under anesthesia
KW - Shoulder
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U2 - 10.1097/JSA.0000000000000324
DO - 10.1097/JSA.0000000000000324
M3 - Review article
C2 - 35113841
AN - SCOPUS:85123973938
SN - 1062-8592
VL - 30
SP - 29
EP - 41
JO - Sports medicine and arthroscopy review
JF - Sports medicine and arthroscopy review
IS - 1
ER -