Elbow

I am a physical therapist and a certified hand therapist. I work in a large clinic that treats just upper extremity problems. We have a fair number of patients with cubital tunnel syndrome who end up having surgery. We are looking for a valid tool to use to measure patient satisfaction before and after treatment. Are you a familiar with anything like that?

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For those who don't know, cubital tunnel syndrome is a condition that affects the ulnar nerve where it crosses the inside edge of the elbow. Another way to describe this problem is to call it an ulnar nerve entrapment.




What's the best way to treat cubital tunnel syndrome? I've had this condition for two years and finally have time to deal with it.

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Cubital tunnel syndrome is a problem with nerve entrapment affecting the ulnar nerve of the arm. The ulnar nerve stretches several millimeters when the elbow is bent. Sometimes the nerve will shift or even snap over the bony medial epicondyle (the bony point on the inside edge of the elbow). Over time, this can cause irritation to the nerve.




Needed: Valid and Reliable Instrument to Measure Before and After Results of Surgical Treatment for Cubital Tunnel Syndrome Wanted: Instrument to Measure Results of Treatment for Cubital Tunnel Syndrome

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You've heard it over and over from us: doctors, physical therapists, and other individuals dedicated to research are seeking evidence to show what treatment works best for each orthopedic condition or problem. Today, we report on the results of information gathered about cubital tunnel syndrome. Are patients happy with the results? Does their satisfaction match the surgeon's view of the results?




Could you run by me the best way to treat an 83-year-old man with an elbow fracture? My father has a distal humeral displaced fracture.

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Distal humeral fracture means that the bottom of the upper arm bone is broken. Since the humerus forms the upper half of the elbow, this type of fracture certainly affects the elbow. Displaced means the bone is not only broken, but the fracture has separated. These fractures are complex and challenging to treat. Surgery is usually required.




Does this make sense to you? Mother fell and broke her elbow (the bottom of the long arm bone, not her forearm bone). They want to wait before they do surgery. They say there's a chance she could heal on her own with a splint if she's careful. What if it doesn't heal? Will the surgery still works as good as if she had it now? We just don't know what to think.

in

Fractures of the humerus (upper arm bone) just above the elbow are difficult to treat. Surgery is the standard way to treat these fractures. But the optimal approach isn't always clear at the out set. The surgeon must take into consideration many factors. How did it happen? What kind of break is involved? Are the soft tissues around the bone damaged in any way? Did the elbow joint surface crack in the process?




Update on Surgical Treatment of Elbow Fractures in the Elderly

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Fractures of the humerus (upper arm bone) just above the elbow are difficult to treat. Surgery is the standard way to treat these fractures. But the optimal approach isn't always clear at the out set. The surgeon must take into consideration many factors. How did it happen? What kind of break is involved? Are the soft tissues around the bone damaged in any way? Did the elbow joint surface crack in the process?




Can you tell me what overstuffing means? I had elbow surgery with plates and screws to hold a bone together that was broken into tiny bits. When that failed, they took the top of the radius bone out and put an artificial implant in. Now I've lost even more motion and the new surgeon says it's because I have an overstuffed implant. I don't really understand what that means exactly.

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The elbow is a very complex joint that allows elbow flexion and extension but also forearm rotations called supination (palm up) and pronation (palm down). In order to provide this rotational motion, the top or head of the radius (one of the two bones in the forearm that help form the elbow joint) rolls against the other forearm bone (the ulna.




My husband is scheduled for surgery this afternoon for a badly broken elbow (motorcycle accident). They are talking about taking one of the bones out at the top and replacing it with an implant. He's already signed the forms giving the surgeon permission to do whatever needs to be done. I'm wondering if that's such a good idea. Maybe we should go back and say, No, save the elbow no matter what. What do you think?

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It sounds like he may have a broken and perhaps even dislocated radial head. The radius is one of two forearm bones that meet the humerus (upper arm bone) to form the elbow. The radial head is the top of the radial bone. It sits up under one side of the humerus and articulates (moves) against the other bone of the forearm (the ulna).




What Do the Experts Say About a Broken Elbow? Repair or Replace?

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In this case report, orthopedic surgeons who specialize in the treatment of traumatic upper extremity injuries ask the question, What's the best way to treat a badly broken elbow? It's dislocated and fractured into bits. Should it be wired together? Would it just be better to replace the elbow with an artificial replacement? What to do -- what to do!




Have you ever heard of a nine-year-old having golfer's elbow? Our daughter has been complaining about elbow pain for months. We finally took her into see the pediatric orthopedic specialist and that's the diagnosis. She doesn't even play golf!

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Elbow, wrist, thumb, and hand problems are fairly common -- and they affect people of all ages from young to old. Many are the result of overuse syndromes. Overuse syndromes refers to pain, tenderness, and dysfunction from tissue damage caused by repetitive, prolonged, or forceful use of the thumb, hand, wrist, or elbow. Additionally, assuming awkward positions repeatedly can also contribute to the problem.





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