Services

Elbow

Epicondylitis

About Epicondylitis (Tennis Elbow)

This condition is more commonly known as tennis elbow or golfer's elbow. It is caused by repetitive overuse of the extensor/flexor muscles of the forearm which results in partial tearing of the common tendon origin.

The Symptoms

The symptoms of this condition are pain over the lateral or medial side of the elbow, pain in the elbow and forearm with activity and elbow stiffness. This condition is often adequately treated with oral anti-inflammatory medications, steroid injection, bracing and exercises. Cases of chronic tendonitis unresponsive to nonsurgical treatment can be effectively managed with a surgical repair of the torn tendon.

Ulna Neuritis/Instability

About Ulna Neuritis/Instability

This condition is related to entrapment or instability of the ulna nerve in the vicinity of the elbow. The nerve normally travels past the elbow on the medial side through a passageway called the cubital tunnel posterior to the medial epicondyle. As a result of repetitive overuse the nerve can become compressed within the cubital tunnel or unstable causing the nerve to become distressed. Typical symptoms of this condition are pain over the radial aspect of the elbow and aspect of the hand.

The Condition

This condition can be managed effectively with oral anti-inflammatory medication, steroid injection, activity modification and exercises. In some cases the symptoms do not resolve with medical treatment and a surgical correction is necessary.

Elbow Dislocation

About The Elbow

The elbow is complex joint that is held together by strong ligaments.

The Injury

As a result of a traumatic event the ligaments can be torn and the elbow joint can become dislocated. This injury pattern is initially treated with a reduction of the elbow joint typically in the emergency room setting with application of a splint. If the reduction is adequate and the joint is relatively stable with motion, a nonsurgical approach can be employed where the ligaments can be allowed to heal in a brace and elbow motion can be introduced in a progressive fashion. In some cases, an adequate reduction cannot be achieved or the reduction may be unstable. This can occur for a variety of reasons including associated fractures. In these cases the recommended treatment is a surgical repair.

Fracture

There are many fracture patterns which can effect the elbow. Typical fractures involve the olecranon process, radial head, humeral condyles and distal humerus. Non-displaced fractures can be treated in a long arm cast with immobilization of the elbow. Displaced or unstable fractures of the elbow require surgical treatment.

Elbow Arthritis

The Injury

Arthritis can affect the elbow in the same way that it can affect the weight bearing joints such as the hip and knee. The type of arthritis may be inflammatory or degenerative. Arthritis is a condition where the cartilage surfaces of the joint becomes damaged and deteriorates over time resulting in the loss of the cushioning material between the bones.

Symptoms

Symptoms associated with this condition include elbow pain and stiffness. At Regional Orthopedics the pain and stiffness associated with advanced arthritis can be effectively relieved with a elbow replacement. This procedure involves resection of the deteriorated arthritic surfaces of the joint followed by the bonding of synthetic implants to these surfaces which will allow for the restoration of painless motion. For less advanced cases of arthritis such as mild or moderate cartilage loss, symptoms can be managed with non-surgical measures such as oral medications, injectable medications and a physical therapy program.

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