Evidence map›Paper›PMID 32913596›Full record

ArticleOrthopedic reviews2020

The stiff elbow: Current concepts.

Giulia Masci, Gianpiero Cazzato, Giuseppe Milano, Gianluca Ciolli, Giuseppe Malerba, Carlo Perisano, Tommaso Greco, Palmacci Osvaldo, Giulio Maccauro, Francesco Liuzza

2 registry-linked trialsAbstract read
In one paragraph

Article in Orthopedic reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05948423 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Tissue Flossing Technique in Patients With Post Traumatic Elbow Stiffness.

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled30ConditionsElbow StiffnessArmsTisue Flossing Technique
NCT07598526 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effects of Mulligan Mobilization With and Without Myofascial Release Technique in Management of Post Traumatic Elbow Stiffness

TypeinterventionalSponsorUniversity of FaisalabadRan2026 to 2026Enrolled30ConditionsElbow Stiffness, Elbow PainArmsGroup A (Mulligan Mobilization with Myofascial Release Technique), Group B (Mulligan Mobilization alone)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
  2. Article
  3. [Research progress on elbow joint rehabilitation robots].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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  17. Article
  18. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Giulia MasciDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Gianpiero CazzatoUniversità Cattolica del Sacro Cuore, Rome.
Giuseppe MilanoDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia.
Gianluca CiolliDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Giuseppe MalerbaDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Carlo PerisanoDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Tommaso GrecoDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Palmacci OsvaldoDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Giulio MaccauroDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.
Francesco LiuzzaDepartment of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elbow stiffness is defined as any loss of movement that is greater than 30° in extension and less than 120° in flexion. Causes of elbow stiffness can be classified as traumatic or atraumatic and as congenital or acquired. Any alteration affecting the stability elements of the elbow can lead to a reduction in the arc of movement. The classification is based on the specific structures involved (Kay's classification), anatomical location (Morrey's classification), or on the degree of severity of rigidity (Vidal's classification). Diagnosis is the result of a combination of medical history, physical examination (evaluating both active and passive movements), and imaging. The loss of soft tissue elasticity could be the result of bleeding, edema, granulation tissue formation, and fibrosis. Preventive measures include immobilization in extension, use of post-surgical drain, elastic compression bandage and continuous passive motion. Conservative treatment is used when elbow stiffness has been present for less than six months and consists of the use of serial casts, static or dynamic splints, CPM, physical therapy, manipulations and functional re-education. If conservative treatment fails or is not indicated, surgery is performed. Extrinsic rigidity cases are usually managed with an open or arthroscopic release, while those that are due to intrinsic causes can be managed with arthroplasties. The elbow is a joint that is particularly prone to developing stiffness due to its anatomical and biomechanical complexity, therefore the treatment of this pathology represents a challenge for the physiotherapist and the surgeon alike.

Indexed as

elbowelbow contracturepost-traumatic stiffnessStiff elbow

Identifiers

PMID32913596
PMCPMC7459370

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.