Elbow

Tennis Elbow Treatment 

Tennis elbow, medically known as lateral epicondylitis, is a common condition characterised by pain and inflammation on the outer side of the elbow. Despite its name, tennis elbow can affect anyone, not just tennis players. It is usually caused by repetitive wrist and arm motions, resulting in strain and overuse of the tendons that attach to the lateral epicondyle, a bony prominent on the outside of the elbow. 

At our facility, we focus on addressing the underlying causes and symptoms of tennis elbow. Our approach begins with a thorough evaluation to accurately diagnose the extent of the injury and to customise a treatment plan for each patient. Depending on the severity of the condition, treatment may involve a combination of rest, activity modification, physical therapy exercises to strengthen and stretch the affected muscles and tendons, as well as the use of nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.

In cases where conservative measures are insufficient, we may administer corticosteroid injections or other minimally invasive procedures to provide additional relief. Our goal is to alleviate immediate discomfort, facilitate long-term healing and prevent recurrence, which can help our patients return to their usual activities without limitation.

Golfer’s Elbow Treatment

Golfer's elbow, medically known as medial epicondylitis, is a condition characterised by pain and inflammation on the inner side of the elbow, where the tendons of the forearm muscles attach to the bony bump (medial epicondyle) on the inside of the elbow. This condition develops as a result of repetitive wrist and forearm movements, which is quite common when engaged in activities such as golf, racket sports, or manual labour. 

At Orthopaedic and Hand Surgery Partners, we provide comprehensive evaluation, diagnosis, and treatment options for golfer’s elbow. Treatment may include rest, activity modification, and anti-inflammatory medications to alleviate symptoms and reduce inflammation. In some cases, our experienced surgeon may recommend physical therapy exercises to strengthen the muscles surrounding the elbow and improve flexibility. For cases where conservative measures are ineffective, our surgeon may opt for more advanced treatments such as corticosteroid injections or platelet-rich plasma (PRP) to promote healing and alleviate pain. Bespoke treatment plans will be developed to help patients return to their daily activities with improved elbow health and reduced discomfort.

Olecranon Bursitis Treatment

Olecranon bursitis is a condition characterised by inflammation and swelling of the bursa located at the tip of the elbow, known as the olecranon bursa. This bursa acts as a cushion between the skin and the bony prominence of the elbow, which allows smooth movement of the joint. Olecranon bursitis often occurs due to repetitive pressure or trauma to the elbow, such as leaning on hard surfaces or direct blows to the elbow. 

We provide expert care for olecranon bursitis and offer comprehensive evaluation, diagnosis, and treatment options. For less severe cases, our surgeons usually prescribe conservative treatment options such as rest, ice, and elevation to reduce swelling and alleviate pain. Nonsteroidal anti-inflammatory medications may also be prescribed to reduce inflammation. In cases of severe or persistent bursitis, aspiration of fluid from the bursa or corticosteroid injections may be recommended to reduce swelling and alleviate symptoms. Our experienced medical team ensures that patients are able to return to their daily activities with improved elbow function and reduced pain after undergoing the prescribed treatment

Cubital Tunnel Release

Cubital tunnel syndrome occurs when the ulnar nerve, which runs along the inside of the elbow, becomes compressed or irritated, which causes symptoms such as numbness, tingling, and weakness in the hand and fingers. This condition, often referred to as the "funny bone" sensation, can result from prolonged pressure on the elbow, repetitive bending of the elbow, or anatomical abnormalities. 

At Orthopaedic and Hand Surgery Partners, we offer comprehensive treatment options for cubital tunnel syndrome, including a thorough diagnosis and individualised treatment plan. Cubital tunnel release is a surgical procedure aimed at relieving pressure on the ulnar nerve by enlarging the space through which it passes. During the procedure, the orthopaedic surgeon makes an incision at the back of the elbow and releases any constricting structures, such as ligaments or bony prominences, that may be compressing the nerve. This allows the nerve to move freely and reduces symptoms of numbness and tingling.

Elbow Arthroscopy

Elbow arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various conditions affecting the elbow joint. It is commonly employed to address issues such as ligament tears, cartilage injury,  elbow arthritis, loose bodies in the elbow, synovitis/joint inflammation, and repetitive motion injuries like tennis elbow. 

During an elbow arthroscopy, small incisions are made around the joint, through which a tiny camera called an arthroscope is inserted. This allows the orthopaedic surgeon to visualise the internal structures of the elbow in detail on a monitor, which helps ensure precise diagnosis and effective treatment. Depending on the specific condition, our orthopaedic surgeons may perform therapeutic interventions such as debridement (removal of damaged tissue), repair of torn ligaments or tendons, removal of loose fragments, or cartilage restoration procedures arthroscopically. Compared to traditional open surgery, the benefits of elbow arthroscopy typically include less postoperative pain, faster recovery, and smaller scars. Rehabilitation following elbow arthroscopy focuses on restoring range of motion, strengthening the surrounding muscles, and improving function.

Ligament Reconstruction

Ligament reconstruction surgery for the elbow is a procedure typically performed to repair or reconstruct damaged ligaments, such as the medial/ulnar collateral ligament and the lateral ulnar collateral ligament. These ligaments are located on either side of the elbow and are important structures to keep the elbow joint stable and functional. They can be injured from trauma, falls, sports injuries, or traffic accidents resulting in subluxation or dislocation of the elbow. 

When conservative treatments such as rest, physical therapy, and bracing fail to address these symptoms adequately or if the ligament tear is severe, our orthopaedic surgeon may perform ligament reconstruction surgery. During the procedure, the damaged ligament is either repaired or reconstructed with a tendon graft harvested from the patient's body (autograft) or donor source (allograft). This graft is secured in place using various surgical techniques to restore stability to the elbow joint. 

Post-operative rehabilitation plays a crucial role in the recovery process, focusing on gradually restoring range of motion, strengthening the muscles around the elbow, and gradually reintroducing functional activities. At our facility, ligament reconstruction surgery is performed by skilled orthopaedic surgeons with expertise in sports medicine, utilising advanced surgical techniques and personalised treatment plans to help patients regain stability and function in their elbows, which can help them return to their desired level of activity with confidence.

Stiff Elbow Treatment 

Stiff elbow, also known as elbow stiffness, is characterised by limited range of motion and difficulty fully extending or flexing the elbow joint. This restriction in movement can be caused by various factors, including trauma, previous elbow surgery, prolonged immobilisation, arthritis, or inflammatory conditions. 

Individuals with stiff elbows often experience pain, weakness, and functional impairment, which affects their ability to perform everyday activities and tasks. At Orthopaedic and Hand Surgery Partners, the management of a stiff elbow is approached with a comprehensive understanding of each patient's unique condition by utilising a multidisciplinary team of specialists to provide personalised treatment plans to maximise elbow function and improve quality of life. 

Treatment for stiff elbows typically begins with conservative measures such as physical therapy, stretching exercises, and anti-inflammatory medications to alleviate pain and improve flexibility. However, if conservative treatments prove ineffective, surgical intervention may be necessary. Surgical options for stiff elbow treatment may include arthroscopic release, where scar tissue and adhesions are removed arthroscopically to improve joint mobility, or open surgical procedures such as capsular release, bone spur removal and manipulation under anaesthesia to address underlying structural issues contributing to stiffness. Rehabilitation following surgery focuses on restoring the range of motion, strengthening the surrounding muscles, and improving functional abilities.

Elbow Trauma 

Trauma to the elbows refers to injuries within or around the elbow joint, which often results from high-impact events such as car accidents, falls from height, or sports-related collisions. These injuries can potentially involve multiple structures around the elbow joint, such as elbow or olecranon fractures, elbow dislocations, soft tissue injuries such as ligament tears or tendon ruptures, nerve damage, and vascular injuries. 

Complex trauma to the elbows can lead to significant pain, swelling, instability, and loss of function, which may require immediate medical attention to prevent long-term complications. At Orthopaedic and Hand Surgery Partners, the management of complex elbow trauma is overseen by our team of experienced orthopaedic surgeons and specialised healthcare professionals, who utilise advanced techniques and technologies to provide personalised care to our patients, with the ultimate goal of achieving optimal outcomes and restoring quality of life. 

Treatment for complex elbow trauma is usually aimed at restoring stability, preserving joint function, and minimising disability. Depending on the specific nature and severity of the injury, treatment may involve a combination of surgical interventions such as open reduction internal fixation (ORIF) of fractures, ligament or tendon repairs, nerve or vascular repair, and soft tissue reconstruction. The surgical approach may vary based on the individual's age, activity level, and overall health status. Following surgery, rehabilitation plays a crucial role in the recovery process, focusing on restoring range of motion, strength, and function to the affected elbow.

Elbow Joint Replacement 

Elbow joint replacement, also known as total elbow arthroplasty, is a surgical procedure that helps address severe arthritis or irreparable joint damage in the elbow. Arthritis in the elbow can result from various factors, including osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, or avascular necrosis, which can cause pain, stiffness, and loss of function. 

We may recommend elbow joint replacement when conservative treatments such as medication, physical therapy, and activity modification fail to provide adequate relief. During the procedure, the damaged portions of the elbow joint are removed and replaced with artificial components made of metal and plastic, which mimic the natural movement and function of the joint. This surgery aims to alleviate pain, restore mobility, and improve overall joint function, which can help our patients regain independence and engage in daily activities with greater ease. 

Following surgery, rehabilitation and physical therapy play crucial roles in optimising recovery, strengthening the surrounding muscles, and promoting a successful recovery. At Orthopaedic and Hand Surgery Partners, elbow joint replacement is performed by skilled orthopaedic surgeons utilising advanced techniques and technologies to achieve the best possible results for our patients. 

Joint Revision Surgery 

Joint revision surgery for the elbow is a procedure performed to address complications or failures associated with a previous elbow joint replacement surgery. Over time, factors such as wear and tear, implant loosening, infection, or implant failure may necessitate the need for joint revision surgery. This procedure becomes essential when the initial implant no longer functions effectively, resulting in persistent pain, instability, limited range of motion, or other functional impairments. 

During joint revision surgery, our orthopaedic surgeon meticulously removes the problematic components of the previous implant and replaces them with new prosthetic components, which helps restore stability and function to the elbow joint. Before proceeding with surgery, we conduct a detailed evaluation to identify the underlying causes of implant failure that can help us formulate an effective and individualised treatment plan. 

During the procedure, our skilled surgical team utilises advanced techniques and state-of-the-art equipment to ensure optimal outcomes. In post-operative care, we help our patients with rehabilitation and physical therapy to promote healing, enhance joint function, and facilitate a smooth recovery process. Our goal with joint revision surgery is to alleviate pain, improve mobility, and enhance the overall quality of life for our patients, which can enable them to regain confidence and resume their daily activities with comfort and ease.