Intra-articular Injection of Hyaluronic Acid to Rehabilitate Post-burn Elbow Contracture.
- Author:
Ji Soo CHOI
1
;
Jeong Hyeon MUN
;
Jong Hyun JEON
;
Yun Jae JUNG
;
Cheong Hoon SEO
;
Ki Un JANG
Author Information
1. Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, Hallym University Medical School, Seoul, Korea. jangkiun@hanmail.net
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Contracture;
Elbow;
Burns;
Hyaluronic acid;
Intraarticular injections
- MeSH:
Activities of Daily Living;
Burns;
Cartilage;
Collagen;
Contracture;
Elastin;
Elbow;
Elbow Joint;
Equipment and Supplies;
Hand Strength;
Humans;
Hyaluronic Acid;
Injections, Intra-Articular;
Joints;
Pronation;
Range of Motion, Articular;
Supination;
Synovial Fluid;
Upper Extremity
- From:Journal of Korean Burn Society
2011;14(2):118-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Limitation of motion of the elbow joint causes upper extremity dysfunction and limitation in activities of daily living. Hyaluronic acid (HA) is a glycosaminoglycan (GAG), which is a substance that attaches to collagen and elastin to form cartilage. HA not only helps keep the cartilage that cushions joints strong and flexible, but also helps to increase supplies of joint-lubricating synovial fluid. We investigated the effect of intraarticularly applied HA on the post-burn contracture of the elbow. METHODS: Total 14 patients were randomized into HA and control groups. The treatment group who treated with HA intra-articular injection once a week for 3 times. A control group was not injected. The effect of HA injection was evaluated by range of motion (ROM) of elbow, grip strength, patient's visual analogue scale (VAS) of pain and functional independence measure (FIM) scale before the first injection as well as after 1 and 3 months. RESULTS: The change in elbow flexion ROM was 29.2+/-19 for HA vs 1.4+/-2.4 for control (P<0.05). The change in VAS pain was 2.9+/-1.3 for HA vs 1+/-1.3 for control (P<0.05). These beneficial effects of HA are sustained for 3 months. There was no significant difference in elbow extension, supination, pronation, grip strength and FIM score. CONCLUSION: As a result, intra-articular injection of hyaluronic acid is effective for the treatment of post-burn contracture of the elbow.
