Abstract
Reoperative assessment of posttraumatic flexion contracture of the elbow includes plain radiographs and tomograms, which are dif0cult to obtain in the coronal plane due to the contracture. We conducted this study to determine the uaefulness of MR haghg in the workβup of these patients. Twelve patients with flexion contracture of the elbow were studied. In addition to standard spinβecho sequences, a sagittally acquired spoiled gradientβrecalled echo 3D data set of the flexed elbow was obtained and reformatted coronally using a curved plane of reconstruction. The MR hdings were compared to the plain filmrr. tomograms and surgical results. MRI allowed identification of loose bodies that were sometimes poorly visualized, or not seen. on plain films, and demonstrated degenerative changes eqdy as well M tomograms. MR showed soft tissue abnormalities including capsular and collateral ligament thickening. Cwillnear reconstructions were helpful in the assessment of collateral ligaments in patients with severe contractures. We conclude that MR is useful in the evaluation of elbow flexion contractures. particularly in assessing soft tissue causes.