Our Summary

This research paper is basically a guide that explores different methods of nerve transfer that can help restore the functioning of the elbow. The study talks about techniques for both bending (flexing) and straightening (extending) the elbow. It also discusses when these methods should be used, their potential drawbacks, and what kind of results can be expected based on existing studies. This research is particularly useful for cases of serious nerve injuries in the arm.

FAQs

  1. What are the different nerve transfer options for restoring elbow function?
  2. What are the indications, limitations, and expected outcomes of nerve transfer strategies for elbow flexion and extension?
  3. Can nerve transfers help in cases of brachial plexus injury or nerve root avulsion?

Doctor’s Tip

One helpful tip a doctor might tell a patient about elbow surgery is to follow post-operative physical therapy and rehabilitation guidelines closely to ensure optimal recovery and regain full range of motion and strength in the affected elbow. It is important to be patient and consistent with therapy exercises to achieve the best possible outcome.

Suitable For

Patients with elbow injuries or conditions that do not respond to conservative treatments such as physical therapy or medication may be recommended for elbow surgery. Some common reasons for elbow surgery include:

  1. Elbow fractures: Patients with severe fractures in the elbow may require surgery to realign the bones and stabilize the joint.

  2. Tennis elbow (lateral epicondylitis): Patients with chronic pain and inflammation in the tendons on the outside of the elbow may benefit from surgical treatment to relieve symptoms.

  3. Golfer’s elbow (medial epicondylitis): Patients with chronic pain and inflammation in the tendons on the inside of the elbow may also require surgery for relief.

  4. Elbow arthritis: Patients with severe arthritis in the elbow joint may need surgery to remove damaged tissue, realign the joint, or replace the joint with an artificial implant.

  5. Elbow dislocation: Patients with a dislocated elbow that cannot be reduced with closed manipulation may require surgery to repair ligaments and stabilize the joint.

  6. Nerve injuries: Patients with nerve injuries that affect elbow function, such as brachial plexus injuries or nerve root avulsions, may benefit from nerve transfer surgery to restore movement and sensation in the affected arm.

Overall, the decision to recommend elbow surgery will depend on the specific condition and individual circumstances of each patient. It is important for patients to discuss their treatment options with a qualified orthopedic surgeon to determine the best course of action for their elbow injury or condition.

Timeline

Before elbow surgery:

  • Patient may experience pain, limited range of motion, weakness, and/or instability in the elbow joint
  • Patient may undergo imaging tests such as X-rays, MRI, or CT scans to determine the extent of the injury
  • Patient may receive physical therapy or other non-surgical treatments to manage symptoms and improve function

After elbow surgery:

  • Patient will undergo a period of post-operative recovery, which may include pain management, physical therapy, and restrictions on movement
  • Patient will gradually regain strength and range of motion in the elbow through rehabilitation exercises and therapy
  • Patient may need to wear a splint or brace to support the elbow during the healing process
  • Patient will follow up with their surgeon for check-ups and monitoring of progress
  • Patient may experience improved function and reduced pain in the elbow joint as they continue to recover and rehabilitate.

What to Ask Your Doctor

  1. What specific type of elbow surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with this surgery?
  3. What is the expected recovery time and rehabilitation process following the surgery?
  4. Are there alternative treatment options to consider before proceeding with surgery?
  5. How successful is this type of surgery in restoring elbow function?
  6. Will I need physical therapy after the surgery, and if so, for how long?
  7. How long will it take for me to regain full use of my elbow after the surgery?
  8. What can I do to improve the outcome of the surgery and speed up my recovery?
  9. How often will I need follow-up appointments after the surgery?
  10. Are there any specific lifestyle changes or restrictions I should be aware of after the surgery?

Reference

Authors: Bulstra LF, Shin AY. Journal: Hand Clin. 2016 May;32(2):165-74. doi: 10.1016/j.hcl.2015.12.005. PMID: 27094889