TY - JOUR T1 - Refractory Elbow ArthrofibrosisA Report of Four Cases AU - Nesterenko, Sergiy AU - Sanchez-Sotelo, Joaquin AU - Morrey, Bernard F. Y1 - 2009/11/01 N1 - 10.2106/JBJS.H.00971 JO - The Journal of Bone & Joint Surgery SP - 2693 EP - 2695 VL - 91 IS - 11 N2 - The elbow has a certain propensity for the development of stiffness after injuries or surgery1,2. Contracture of the capsule with extensive fibrosis is a central pathologic element in most stiff elbows, but the severity of capsular fibrosis varies considerably from patient to patient. There is some association between the severity of the initial insult to the joint and the intensity of the fibrotic capsular response. Several studies have documented predictable and permanent improvements in motion when the abnormal capsule is surgically removed3-6. SN - 0021-9355 M3 - doi: 10.2106/JBJS.H.00971 UR - http://dx.doi.org/10.2106/JBJS.H.00971 ER -