Elbow Treatments

For the latest treatments for elbow pain, including keyhole surgery for elbow, loose body removal, operations for tennis and golfer’s elbow and total elbow replacements, Mr Sathyamoorthy has a wealth of knowledge and expertise. As a consultant orthopaedic surgeon and specialist in the treatment of elbow problems, he is available to diagnose and treat his private patients, restoring movement and reducing pain. Mr Sathyamoorthy works from Spire Yale Wrexham and Chester’s Nuffield hospital.

Some of the surgical treatments provided include:

Total elbow replacements

Elbow arthritis can cause significant pain and stiffness. Arthritis can be as a result of rheumatoid process, after trauma or due to osteoarthritis. This can lead to functional disability.  Total elbow replacement is designed to replace the damaged joint surfaces with plastic and metal bearing surfaces.  While a total elbow replacement is designed to give good pain relief and restore function.

Stiffness

Inability to flex or rotate the elbow as they should be with loss of movement is most common after trauma and this usually improves over time. With high levels of trauma, surgery may be required to re-instate the function and remove or reduce pain in the elbow. Surgery may be performed by keyhole (arthroscopy) or open surgery.

Elbow arthroscopy

Elbow arthroscopy is a keyhole surgery for elbows. It can be used to treat many conditions of the elbow. Performed under general or regional anaesthetic, a fibre optic camera is inserted through a small incision in the elbow. The surgeon is able to view on a monitor and accurately diagnose and treat conditions in this way.

With only small cuts made, there will be less pain, stiffness and swelling than in conventional surgery, resulting in a faster recovery rate.

The following procedures are done through elbow arthroscopy:

Debridement in arthritis
Elbow arthroscopy debridement is a specific technique to remove bony growths in the joint and loose bits of bone or cartilage that may be causing problems. In certain cases the head of the radius might also be removed.

Removal of loose bodies in the elbow joint
Loose bodies in the elbow joint can cause symptoms including: locking, catching, clicking, crepitus and pain. Arthroscopic removal of intra-articular loose bodies of the elbow can lead to improvement in all of these symptoms. Commonly seen in patients with osteoarthritis and in repetitive use injuries such as those seen in athletes used to throwing overhead.

Tennis Elbow

‘Tennis elbow’ is the common name for the elbow condition called lateral epicondylitis, an injury caused by the overuse of the joint, causing inflammation of the tendons, resulting in pain around the outside of your elbow. If you have been suffering more than six months your doctor may suggest you have surgery to repair or remove the damaged part of your tendon. Surgery involves a small incision over the painful area to deal with the tendon.

Fractures

Elbow fractures can occur as a result of a fall or direct impact – often falling onto an outstretched arm or a blow to the elbow itself, or it might be the result of a twisting injury to the arm. If you have broken a bone in your elbow, which will be confirmed by X-ray and your bones are out of place or unstable, you are likely to require surgery.

Golfer’s elbow

Golfer’s elbow affects the elbow muscles, tendons and bone resulting in inflammation and pain. You don’t need to be a golfer to suffer from it. It’s caused by the overuse of the elbow and wrist by repeating movements such as gripping, throwing and swinging. In the worst cases, surgery may be required to deal with the damaged tendon.

Elbow instability operations for dislocations – ligament reconstructions

Elbow instability commonly occurs as the result of an injury such as dislocation, which has damaged the bone and ligaments around the elbow joint. The elbow feels loose and may click or lock when held out straight and even dislocate. Surgery is designed to restore stability to the elbow by repairing or reattaching the ligament and replacing the radial head which is one of the bone structures constituting the elbow joint.

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