الفهرس 
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Abstract
The elbow is one of the most important joints of the upper extremity, because it places the hand in space away from or toward the body, it provides the linkage, allowing the hand to be brought to the trunk, head, or mouth. (8)
Normally, the arc of flexion - extension ranges from 0 o to 140o and the arc of supination - pronation ranges from 85 o in supination to 75o in pronation. This range far exceeds what is normally required for activities of daily living, which usually ranges from 30 degrees in extension to about 130 o in flexion. Supination-pronation is from 50 o in pronation to 50 o in supination. (40)
The elbow stiffness is considered as one of the most well recognized complication following elbow joint trauma and this is due to specific anatomy of elbow joint and the way that peri-articular tissues respond to various types of trauma. The pathology of elbow stiffness can be classified into extra-articular causes, intra-articular causes and mixed causes. (80)
The evaluation of elbow stiffness can be done with:
A. Patient history: subjective description of motion deficits,presence or absence of pain, duration of elbow stiffness, pervious surgery of elbow and presence or absence of previous infection. (84)
B. Clinical examination: inspection, palpation, passive and active range of movement, strength, and complete neurovascular assessment. (94)
C. Radiographic examinations: most cases are evaluated only by routine X-ray techniques, other methods as computed tomography can provide important information’s about elbow joint pathology. (98)
Management of elbow stiffness is based on prevention, non-surgical treatment and surgical treatment after frailer of non-surgical treatment. (111)
The aim of management of elbow stiffness is to provide a functional and Painless range of motion required for activities of daily living , which is extension-flexion of 30 o to 130 o (an arc of motion of 100 degrees) and supination- pronation of 50 o to 50 o (an arc of motion of 100 degrees) .(111)
Prevention is by early active motion after traumatic injuries and by the use of non-steroidal anti-inflammatory drugs combined with rehabilitation program.(111)
Non-surgical treatment:
Is by supervised physical therapy [graduated active-assisted stretching exercises] often combined with static progressive splinting (turnbuckle)(113)