Introduction The term tendinosis is preferred to epicondylitis as this is more descriptive of the true pathology. Epicondylitis (tendinosis) occurs at least five times more commonly on the lateral than on the medial aspect of the joint. The selection factors…
Introduction The importance of wound problems following elbow trauma should not be underestimated. The thin posterior soft tissue envelope places the elbow at risk for significant wound healing problems and potential infection. Soft tissue damage and swelling that occur from…
Introduction The term heterotopic ossification (HO) refers to the presence of mature lamellar bone tissue outside of the bones that form the skeleton. HO and ectopic bone are terms that are used interchangeably for this type of bone formation. Conceptually,…
Introduction The basic science and surgical procedures to restore motion in patients with elbow stiffness have been thoroughly reviewed in the previous three chapters. Unfortunately, recurrence of stiffness is not uncommon, maintenance of the range of motion (ROM) achieved in…
Introduction Restoration of elbow motion in patients with stiffness is commonly attempted arthroscopically. The reader should refer to Part 2 for an in-depth review of arthroscopic elbow surgery. Chapter 21 reviews the arthroscopic management of the arthritic elbow, and many…
Introduction Of the numerous potential causes for elbow stiffness, the causes and pathophysiologic mechanisms dictate treatment and affect prognosis. An extensive treatment of these mechanisms and classification have been addressed in Chapter 53 . As discussed previously, extrinsic contracture typically…
Introduction Loss of joint motion is a common complication of elbow trauma. Posttraumatic elbow stiffness is seen after major but also trivial injuries. Dealing with posttraumatic elbow stiffness is a challenging task for the orthopedic surgeon as it often involves…
Introduction Instability is a major problem at the elbow and some forms of the problem are reviewed in Chapter 32, Chapter 35, Chapter 36, Chapter 41, Chapter 49 . Chronic unreduced dislocation discussed herein is very uncommon in the United…
General Considerations Nonunion of proximal ulna fractures is relatively uncommon with current osteosynthesis techniques. One 2008 series reported 2 of the 62 cases (3%) with olecranon fractures who had nonunions after fixation by tension band wiring techniques. Although this problem…
Introduction Nonunion and malunion are two of the most common and challenging complications of distal humerus fractures. Newer internal fixation principles and techniques have improved our ability to achieve stable fixation of complex distal humerus fractures (see Chapter 44, Chapter…