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Elbow

Treatment of Complications Following Common Elbow Procedures

Proximal Biceps Tendon Surgical Options

Normal Anatomy of the Elbow

The arm in the human body is made up of three bones that join together to form a hinge joint called the elbow. The upper arm bone or humerus connects from the shoulder to the elbow forming the top of the hinge joint. The lower arm or forearm consists of two bones, the radius and the ulna. These bones connect the wrist to the elbow forming the bottom portion of the hinge joint.

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Conditions

Cubital Tunnel Syndrome

Cubital Tunnel Syndrome is a condition characterized by compression of the ulnar nerve in an area of the elbow called the cubital tunnel.

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Tennis Elbow

Tennis elbow, also known as lateral epicondylitis, is a condition characterized by elbow pain due to overuse or overstretching of the elbow. The pain is caused from damage to the tendons that join the forearm muscles to the elbow. Repetitive movement of the elbow causes inflammation of the muscles and tendons that are inserted to the lateral epicondyle (one of the bony protrusions found at the lower end of the arm bone or humerus).

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Golfer’s Elbow

Golfer’s elbow, also called Medial Epicondylitis, is a painful condition that occurs due to repeated muscle contractions in the forearm causing inflammation and micro-tears in the tendons that attach to the medial epicondyle. The medial epicondyle is the bony prominence that is felt on the inside of the elbow.

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Throwing Injuries of the Elbow

An athlete uses an overhand throw to achieve greater speed and distance. Repeated throwing in sports such as baseball and basketball can place a lot of stress on the joints of the arm, and lead to weakening and ultimately, injury to the structures in the elbow. These overuse injuries may include:

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Bicep Tendon Rupture

The biceps muscle is present on the front side of your upper arm and functions to help you bend and rotate your arm.

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Procedures

Cubital Tunnel Release

Cubital tunnel release surgery is the surgery to correct the cubital tunnel syndrome. Cubital tunnel syndrome, also called ulnar nerve entrapment is a condition caused by compression of the ulnar nerve in an area of the elbow called the cubital tunnel. The ulnar nerve travels down the back of the elbow behind the bony bump called the medial epicondyle and through a passageway called the cubital tunnel. The cubital tunnel is a narrow passageway on the inside of the elbow formed by bone, muscle, and ligaments with the ulnar nerve passing through its center. The roof of the cubital tunnel is covered with soft tissue called fascia. When the elbow is bent, the ulnar nerve can stretch and catch on the bony bump. When the ulnar nerve is compressed or entrapped, the nerve can tear and become inflamed leading to various symptoms.

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Tommy John Surgery

The ulnar collateral ligament (UCL) is one of the main stabilizing ligaments in the elbow and is involved especially with overhead activities such as throwing and pitching. When this ligament is injured it can end a professional athlete’s career unless surgery is performed. The common sports activities that may cause UCL injury are

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Ulnar Nerve Transposition

The ulnar nerve is one of the 3 main nerves in the arm that travels down from the neck through a bony protuberance inside the elbow (medial epicondyle), under the muscles of the forearm and down the hand on the side of the palm, towards the little finger. The ulnar nerve helps in controlling most of the hand muscles which carry out fine movements as well as some bigger forearm muscles which help in making a strong grip.

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Click on the topics below to find out more from the orthopaedic connection website of American Academy of Orthopaedic Surgeons.

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