Free bodies of the elbow joint
A full range of orthopedic services, from diagnosis to full recovery
Free bodies are formed as a result of the separation of a small area of cartilage from the adjacent bone (or cartilage with bone) with its displacement into the joint cavity or as a result of changes in the synovial membrane.
Symptoms
Patients with free bodies often complain of pain, restricted movement, clicking in the elbow joint and blocking it. In some cases, clinical signs may be represented by a slight restriction of flexion and extension, accompanied by a small effusion, which is palpated in the area of the posterior-lateral pocket.
Diagnostics
All patients should perform radiography in the anterior-posterior and lateral projections. CT or MRI scans can also be performed, since up to 30% of cases of free bodies cannot be recognized by radiographs.
The most common location of free bodies is the coronal and ulnar fossa and the posterior part of the lateral pocket.
Important: free bodies can migrate, making them difficult to visualize.
Free bodies can result from:
Free bodies in the elbow joint are often manifested by mechanical symptoms that interfere with normal movement and lead to the early development of deforming osteoarthritis.
Treatment of free bodies can only be surgical, as only this allows them to be removed.
Free bodies can restrict movement in the joint and put the cartilage at risk of damage and degenerative changes. During a clinical examination, loss of movement, crepitation, pain in the elbow joint, and short-term blockage of the elbow joint can be detected. Clinical signs detected during examination + radiological data confirming the presence of free bodies in the elbow joint confirm the need for their arthroscopic removal.
Removal of free bodies is perhaps the most common type of arthroscopic intervention in the elbow joint. Arthroscopy has significant advantages in detecting and removing such formations.
Proper installation of ports allows arthroscopically assessing the condition of all parts of the elbow joint. In addition, small incisions when installing ports and limited scarring are also among the advantages of arthroscopic removal of free bodies.
Rehabilitation
The main task in the postoperative period is to restore the volume of movement. It is necessary to motivate the patient to start moving the limb immediately after surgery. Do not use tires.
Surgical dressings should not interfere with the possibility of early flexion, extension, supination and pronation of the hand. It is important to perform an exercise program at home.
With arthroscopic removal of free bodies of the elbow joint, the number of positive results reaches 90%, provided that the technique and sequence of intervention are observed.
It is important to eliminate the cause of the formation of free bodies, as otherwise the effect will be limited, which will manifest itself over time. This is especially important for osteoarthritis.
ENTRUST YOUR HEALTH CARE TO PROFESSIONALS!
Symptoms
Patients with free bodies often complain of pain, restricted movement, clicking in the elbow joint and blocking it. In some cases, clinical signs may be represented by a slight restriction of flexion and extension, accompanied by a small effusion, which is palpated in the area of the posterior-lateral pocket.
Diagnostics
All patients should perform radiography in the anterior-posterior and lateral projections. CT or MRI scans can also be performed, since up to 30% of cases of free bodies cannot be recognized by radiographs.
The most common location of free bodies is the coronal and ulnar fossa and the posterior part of the lateral pocket.
Important: free bodies can migrate, making them difficult to visualize.
Free bodies can result from:
- dissecting osteochondritis< / li> < li>degenerative osteoarthritis< / li> < li>synovial chondromatosis< / li> < li>injuries < /li>
Free bodies in the elbow joint are often manifested by mechanical symptoms that interfere with normal movement and lead to the early development of deforming osteoarthritis.
Treatment of free bodies can only be surgical, as only this allows them to be removed.
Free bodies can restrict movement in the joint and put the cartilage at risk of damage and degenerative changes. During a clinical examination, loss of movement, crepitation, pain in the elbow joint, and short-term blockage of the elbow joint can be detected. Clinical signs detected during examination + radiological data confirming the presence of free bodies in the elbow joint confirm the need for their arthroscopic removal.
Removal of free bodies is perhaps the most common type of arthroscopic intervention in the elbow joint. Arthroscopy has significant advantages in detecting and removing such formations.
Proper installation of ports allows arthroscopically assessing the condition of all parts of the elbow joint. In addition, small incisions when installing ports and limited scarring are also among the advantages of arthroscopic removal of free bodies.
Rehabilitation
The main task in the postoperative period is to restore the volume of movement. It is necessary to motivate the patient to start moving the limb immediately after surgery. Do not use tires.
Surgical dressings should not interfere with the possibility of early flexion, extension, supination and pronation of the hand. It is important to perform an exercise program at home.
With arthroscopic removal of free bodies of the elbow joint, the number of positive results reaches 90%, provided that the technique and sequence of intervention are observed.
It is important to eliminate the cause of the formation of free bodies, as otherwise the effect will be limited, which will manifest itself over time. This is especially important for osteoarthritis.
ENTRUST YOUR HEALTH CARE TO PROFESSIONALS!
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Advantages of treatment in Orthopedics by Ruslan Sergienko
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10 years on medical services in Ukraine
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> 25 years of experience with leading specialists
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Anna Vovchenko and Ruslan Sergienko are recognized opinion leaders among the orthopedic traumatologists
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> 150,000 consultations were held
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> 7,500 surgeries were performed
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All types of pain management
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The operating unit is equipped according to international standards
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Availability of all medicines and supplies
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Single rooms, equipped with the characteristics of orthopedic patients
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Three meals a day
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Postoperative rehabilitation by certified specialists
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Pricing Transparency