Our Summary

This research paper discusses recent trends in treating shoulder and elbow conditions. There’s been an increase in using shoulder replacement surgery to treat osteoarthritis (a type of joint disease) and arthritis that comes after an injury. However, for osteoarthritis in the elbow, especially for young or active people, there are few treatment options. The paper goes into detail about surgical treatments for osteoarthritis in the elbow and shoulder.

FAQs

  1. What recent trends have been observed in treating shoulder and elbow conditions?
  2. Are there new surgical treatments for osteoarthritis in the elbow and shoulder?
  3. Why are there few treatment options for young or active people with elbow osteoarthritis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about elbow surgery is to follow the recommended rehabilitation program diligently. This typically includes physical therapy exercises to improve range of motion and strength in the elbow joint. Adhering to the rehabilitation plan can help ensure a successful recovery and optimal functioning of the elbow after surgery.

Suitable For

Patients who are typically recommended elbow surgery are those who have severe osteoarthritis in the elbow that is causing significant pain and limited range of motion. This includes patients who have not experienced relief from conservative treatments such as medication, physical therapy, and corticosteroid injections.

In addition, patients who have sustained a traumatic injury to the elbow, such as a fracture or dislocation, may also be recommended for elbow surgery to restore function and stability to the joint. Other conditions that may require elbow surgery include ligament tears, tendon injuries, and nerve compression syndromes.

Overall, patients who are experiencing chronic pain, limited mobility, and decreased quality of life due to their elbow condition may benefit from surgical intervention. It is important for these patients to consult with a qualified orthopedic surgeon to determine the most appropriate treatment plan based on their individual needs and goals.

Timeline

Before elbow surgery:

  1. Patient experiences pain, swelling, and limited range of motion in the elbow.
  2. Patient consults with a doctor or orthopedic surgeon to discuss treatment options.
  3. Doctor may recommend conservative treatments such as physical therapy, pain medications, and injections.
  4. If conservative treatments are ineffective, doctor may recommend elbow surgery as a last resort.

After elbow surgery:

  1. Patient undergoes pre-operative preparation such as medical evaluations and testing.
  2. On the day of surgery, patient is admitted to the hospital or surgical center.
  3. Surgeon performs the elbow surgery, which may involve arthroscopic procedures or open surgery.
  4. Patient is monitored in the recovery room before being discharged home or to a rehabilitation facility.
  5. Patient begins post-operative rehabilitation, which may include physical therapy to regain strength and range of motion in the elbow.
  6. Patient follows a prescribed rehabilitation program to ensure a successful recovery.
  7. Over time, patient experiences reduced pain and improved function in the elbow as they continue to heal 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 the surgery?
  3. What is the expected recovery time and rehabilitation process after the surgery?
  4. Are there alternative non-surgical treatments available for my condition?
  5. What are the long-term outcomes and success rates of the surgery for patients with similar conditions?
  6. Will I need physical therapy after the surgery, and if so, for how long?
  7. How soon can I expect to return to normal activities or sports after the surgery?
  8. What type of anesthesia will be used during the surgery?
  9. How many of these surgeries have you performed, and what is your success rate?
  10. Are there any specific lifestyle changes or precautions I should take after the surgery to prevent further injury or complications?

Reference

Authors: Adams JE, Steinmann SP. Journal: J Hand Ther. 2022 Jul-Sep;35(3):413-417. doi: 10.1016/j.jht.2022.02.002. Epub 2022 Apr 12. PMID: 35428566