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Oxford Textbook of Trauma and Orthopaedics$
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Oxford Textbook of Trauma and Orthopaedics (2 ed.)

Edited by Christopher Bulstrode, James Wilson-MacDonald, Deborah M. Eastwood, John McMaster, Jeremy Fairbank, Parminder J. Singh, Sandeep Bawa, Panagoitis D. Gikas, Tim Bunker, Grey Giddins, Mark Blyth, David Stanley, Paul H. Cooke, Richard Carrington, Peter Calder, Paul Wordsworth, Tim Briggs

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Publisher:
Oxford University Press
Print Publication Date:
Jun 2011
Print ISBN-13:
9780199550647
Published to Oxford Medicine:
Apr 2011
DOI:
10.1093/med/9780199550647.001.0001

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Osteoarthritis of the elbow joint

Chapter:
Osteoarthritis of the elbow joint
Author(s):

Shantanu Shahane

DOI:
10.1093/med/9780199550647.003.005.005

♦ Symptomatic, primary osteoarthritis of the elbow usually occurs in young men involved in heavy manual labour.

♦ Common causes of secondary osteoarthritis of the elbow are trauma, infection, bleeding disorders and neuropathic conditions.

♦ Clinically, the commonest presenting symptom is loss of motion. Patients can also complain of pain, locking and ulnar nerve symptoms.

♦ Plain X-rays are usually sufficient for diagnosis. They show reduction in joint space and osteophytes at the tip of olecranon and coronoid processes. Loose bodies are also frequently seen.

♦ Symptoms in early stages of arthritis are controlled by nonoperative means. Steroids are rarely used in clinical practice.

♦ In advanced cases, numerous operative treatments including arthroscopic and open procedures are available.

♦ Total Elbow replacement (TER) for primary degenerative arthritis of the elbow is only to be considered as the last option and when stringent pre and post-operative requirements are followed.

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