Our Summary

This research paper discusses the difficulties in managing elbow injuries that cause instability. These injuries are commonly a result of falls, sports activities, or direct trauma, and can happen on either the inner or outer side of the elbow, depending on the position of the forearm when the injury happens. The instability usually gets worse over time due to damage to the soft tissues and fractures in the bone. The paper describes different types of injuries, some of which can be treated without surgery, while others require surgical intervention. Complications such as stiffness and nerve damage can occur from both non-surgical and surgical treatments. The paper outlines how to diagnose and manage these types of elbow injuries and their complications.

FAQs

  1. What are common causes of elbow injuries that lead to instability?
  2. What types of elbow injuries require surgical intervention?
  3. What complications can occur from non-surgical and surgical treatments for elbow injuries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about elbow surgery is to follow post-operative instructions carefully, including participating in physical therapy to help regain strength and range of motion in the elbow. It is important to be patient and consistent with the rehabilitation process to achieve the best possible outcome from the surgery. Additionally, avoiding activities that could potentially re-injure the elbow and practicing proper ergonomics and lifting techniques can help prevent future complications.

Suitable For

Patients who are typically recommended elbow surgery include those with severe elbow instability, recurrent dislocations, fractures that have not healed properly, severe arthritis, and severe nerve compression. Patients who have tried conservative treatments such as physical therapy and medications with no improvement may also be candidates for surgery. Additionally, athletes who require a full range of motion in their elbow for their sport may also benefit from surgical intervention to correct instability and prevent further damage. Ultimately, the decision to undergo elbow surgery should be made in consultation with a healthcare provider who can evaluate the patient’s individual situation and recommend the most appropriate treatment plan.

Timeline

Before elbow surgery:

  1. Patient experiences pain, swelling, and limited range of motion in the elbow.
  2. Patient undergoes diagnostic tests such as X-rays, MRI, or CT scans to determine the extent of the injury.
  3. Non-surgical treatments such as rest, physical therapy, and medications are attempted to alleviate symptoms.
  4. If non-surgical treatments are unsuccessful, the patient is recommended for elbow surgery.

After elbow surgery:

  1. Patient undergoes pre-operative preparation, including fasting and anesthesia consultation.
  2. Elbow surgery is performed to repair damaged soft tissues, stabilize the elbow joint, or reconstruct ligaments.
  3. Post-operative care involves pain management, physical therapy, and monitoring for complications.
  4. Patient undergoes follow-up appointments to assess healing progress and adjust treatment as needed.
  5. Over time, patient gradually regains strength and range of motion in the elbow through rehabilitation exercises.
  6. Full recovery from elbow surgery can take several months, depending on the type of procedure and individual healing process.

What to Ask Your Doctor

Some questions a patient should ask their doctor about elbow surgery include:

  1. What specific type of elbow injury do I have and what are the treatment options?
  2. What are the risks and benefits of surgery for my elbow injury?
  3. How long is the recovery time after elbow surgery and what can I expect during the recovery process?
  4. Will I need physical therapy after surgery and for how long?
  5. What are the potential complications associated with elbow surgery and how likely are they to occur?
  6. Are there any alternative treatments to surgery for my elbow injury?
  7. How many times have you performed this type of elbow surgery and what is your success rate?
  8. Will I need any special equipment or assistive devices after surgery to aid in my recovery?
  9. Will I be able to resume my normal activities and sports after recovering from elbow surgery?
  10. What can I do to prevent future elbow injuries after surgery?

Reference

Authors: O’Brien MJ, Ramsey ML, Conway JE, Savoie FH 3rd. Journal: Instr Course Lect. 2021;70:55-72. PMID: 33438904