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Elbow

Elbow

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    Elbow Elbow Presentation Transcript

    • SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM
    • Cubical Tunnel Release The outpatient procedure, performed under general or regional anesthesia, alleviates compression of the ulnar nerve.T his nerve travels along the inner side of the elbow and down to the hand .Cubical tunnel release is used to treat cubical tunnel syndrome. Preparation Anesthesia is administered ,and the patient is positioned to allow access to the inner side of arm. The area is cleaned and sterilized. Accessing the Joint The surgeon makes an incision along the inner side of the elbow to access the cubical tunnel ,The open space is surrounded by muscle and bone that provides a channel for the ulnar nerve. Relieving the Compression The surgeon carefully opens the roof of cubical tunnel at the site of the compression creating more space for the ulnar nerve. The nerve is often moved out of tunnel and repositioned along a new path to prevent it from being compressed in the future. If the nerve is compressed in multiple places, more than one section of the tunnel may require treatment. End of procedure and Aftercare The incision is closed with sutures, and the arm is bandaged and placed in splint. The patient is allowed to go home the same day. Physical therapy may required after the arm has healed SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM
    • Ulnar Nerve Transposition at the Elbow This outpatient procedure, performed under general or regional anesthesia, repositions the ulnar nerve to prevent it from sliding against or becoming pinched by the medical epicondyle (the bony bump on the inner side of the elbow). Ulnar nerve transposition is used to treat cubital tunnel syndrome. Preparation Anesthesia is administered, and the patient is positioned to allow access to the inner side of the arm. The area is cleaned and sterilized. Accessing the Joint The surgeon makes an incision along the inner side of the elbow to access the ulnar nerve and medial epicondyle. Rerouting the Nerve The surgeon carefully moves the ulnar nerve from behind the medial epicondyle to a new position in front of this bony bump. The nerve can be routed over, through, or under the muscles of the forearm. The new placement will prevent the nerve from being compressed against the medial epicondyle when the elbow is bent . End of procedure and Aftercare The incision is closed with sutures, and the arm is bandaged and placed in a splint. The patient is allowed to go home the same day . The patient may be required to wear a splint for one to two weeks after the surgery. Occupational of physical therapy may be required after the arm has healed. SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM
    • SPORTS AND SPINE ORTHOPEDICS SOSCCALIFORNIA.COM About Throwing Injuries of the Elbow Repetitive throwing places severe stress on the elbow joint. The throwing motion stretches the tendons and ligaments on the inner side of the elbow and compresses the structures on the outer side. These forces can damage tissue and the bone, especially in young athletes whose bones have not fully matured. Medical Epicondylitis This condition commonly called golfer’s elbow, results from overuse of the muscles and tendons of the forearm. This can gradually deteriorate the common flexor tendon, which attaches to the medical epicondyle (the bony bump on the inner side of the elbow).It can be usually treated without surgery. Medical Ulnar Collateral Ligament (UCL) Injury Repetitive throwing can sprain or tear the MUCL ligament, typically the anterior band located on the inner side of the elbow between the ulna and humerus. A MUCL injury causes pain on the inner side of elbow. A complete tear may require a type of reconstructive surgery commonly called Tommy John Surgery. Medical Apophysitis This condition commonly called Little League elbow, Usually occurs in children before the reached pubery. Children’s bones have growth plates on the end - areas that allow the bones to expand. Repetitive throwing can damage the ligaments or fracture the growth plates, causing pain and swelling on the inner side of elbow. In severe cases, surgery may required. Osteochondritis Dessicans Repetitive throwing can disrupt the blood supply to the cartilage that cushions the end of the bones. This can cause sections of cartilage and bone to pull away or break or loose completely. This condition commonly causes pain on the outer side of the elbow and may cause joint to click or lock. Surgery may be required to remove any loose fragments