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Elbow Arthritis


Presentation

  • Clinical Manifestations Patients with primary rheumatoid arthritis typically present with complaints at multiple joints, even if one joint is more greatly affected than another.[orthopaedicsone.com]
  • In 15.5% of those with elbow OA, ulnar nerve was also reported Clinical Presentation Joint pain with or with loss of range of motion.[physio-pedia.com]
Swelling
  • Symptoms It is an inflammatory condition that causes pain, swelling, stiffness, and interference with the use of the arm. Causes Arthritis can affect all ages, but is most commonly seen in people aged over 40 years.[orthobethesda.com]
  • Symptoms The main symptoms of olecranon bursitis are: swelling, pain and warmth over the bony part at the back of the elbow restricted movement of the elbow.[versusarthritis.org]
  • Look out for deformity, swelling, and muscle atrophy. Range of motion. Conisder joints above and below. Neurovascular examinaton, the ulnar nerve is commonly effected.[physio-pedia.com]
Disability
  • Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery. The Journal of Bone and Joint Surgery American volume. 2012;94(3):277-285. doi:10.2106/JBJS.J.01744.[physio-pedia.com]
Forearm Pain
  • RSI is also known as non-specific forearm pain or overuse syndrome. Types of RSI in the elbow include tennis elbow and golfer’s elbow.[versusarthritis.org]
Hemophilia A
  • Secondary causes of elbow arthritis include trauma, hemophilia, joint infection, and crystalline arthropathy. The most common symptoms associated with elbow arthritis include painful range of motion, decreased range of motion, and weakness.[orthopaedicsone.com]
Elbow Pain
  • Managing your symptoms Learn more about how to manage the symptoms of elbow pain.[versusarthritis.org]
  • Differential diagnosis The differential diagnosis would include any etiology leading to elbow pain with range of motion.[orthopaedicsone.com]
Ankylosis
  • Rheumatoid imaging reveals symmetric joint space narrowing, periarticular erosions, and eventual subluxation, dislocation, fragmentation, fracture, and ankylosis. Rheumatoid patients typically have elevated autoantibodies to immunoglobulin G (IgG).[orthopaedicsone.com]
Morning Stiffness
  • Early morning stiffness starting in the smaller joints of the hand and then progressing to the elbow is common in rheumatoids.[orthopaedicsone.com]
Osteoporosis
  • […] swelling, fever, heat and redness (although these symptoms can also be caused by rheumatoid arthritis ) you think you’ve fractured your elbow – this will probably follow an obvious injury such as a hard impact or twisting of the arm (unless you have severe osteoporosis[versusarthritis.org]
Tingling
  • Red flags If the patient has numbness and tingling in the distribution of the ulnar nerve (ring and small fingers of the hand), consider the possibility that the arthritic degeneration of the joint is affecting the ulnar nerve at the cubital tunnel.[orthopaedicsone.com]
  • Symptoms The main symptoms of cubital tunnel syndrome are: tingling and numbness of your ring and little finger after your elbow has been kept bent (flexed) for long periods or you’ve been resting on the inner edges of your elbows.[versusarthritis.org]

Workup

Joint Space Narrowing
  • Key terms Stiffness, painful range of motion, crepitance, instability, osteophytes, joint space narrowing, osteosclerosis.[orthopaedicsone.com]

Treatment

  • Treatment Treatment can include conservative options such as medications and steroid injections to relieve pain, activity modification, and use of splints. Surgery is usually considered if nonsurgical treatment fails to give relief.[orthobethesda.com]
  • The treatment of elbow arthritis has been evolving rapidly due to advances in arthroscopic techniques and surgical treatment for contractures and improved prosthetic designs.[journals.lww.com]
  • Early diagnosis and treatment with disease modifying antirheumatic drugs (DMARDs) is the mainstay of prevention for rheumatoid arthritis. Treatment options Treatment for osteoarthritis focuses primarily on the main complaint of the patient.[orthopaedicsone.com]
  • Treatment Simple self-help treatments and a few days’ rest are often enough to clear up a spell of elbow pain.[versusarthritis.org]
  • Elbow Arthritis Treatment Most people with elbow osteoarthritis will find little benefit from treatment. Others find that painkillers when required and limiting activities that cause symptoms are two practical methods of managing symptoms.[murdochorthopaedic.com.au]

Etiology

  • Etiology The etiology, as mentioned above, of osteoarthritis is typically overuse with bearing heavy loads, or post-traumatic in nature. Septic arthritis can cause articular degeneration.[orthopaedicsone.com]

Epidemiology

  • Epidemiology The incidence of primary osteoarthritis is less than 2% of the general population. Typically patients have used the affected arm for heavy labor, significant weightlifting, or been a throwing athlete.[orthopaedicsone.com]
Sex distribution
Age distribution

Pathophysiology

  • Aproximately in males it is 10 o - 15 o and in females 20 o - 25 o. [1] Pathophysiology There are two predominant causes of elbow osteoarthritis: primary and post-traumatic. [2] Primary Primary osteoarthritis is uncommon and associated with those who[physio-pedia.com]
  • Pathology and pathophysiology For primary osteoarthritis, there is overload of one portion of the articular surface of the ulnohumeral joint, or the radiocapitellar joint.[orthopaedicsone.com]

Prevention

  • Risk factors and prevention Prevention for osteoarthritis is primarily focused on anatomic reduction of intraarticular fractures with open reduction and internal fixation.[orthopaedicsone.com]
  • Try the exercises suggested here to help ease pain and prevent future symptoms. To prevent your elbow joint stiffening and your arm muscles weakening we recommend that you don’t rest for more than a few days.[versusarthritis.org]
  • It should be noted that elbow replacement does not return the elbow joint to normal, and activities must always be restricted in the elbow lifelong after that to prevent injury to the replacement.[murdochorthopaedic.com.au]

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