Elbow Instability

Selected Features of Our Program

Evaluation and Diagnosis

The elbow is kept stable by the two main ligaments on each side of the elbow. The shapes of the bones that fit together are also important. Trauma to the elbow can fracture these bone surfaces and tear the key ligaments. Afterwards the joint may be unstable. Symptoms of elbow instability include pain, stiffness, weakness, and the sense that the elbow just won't perform the way it is supposed to. Patients may not be able to pick up and carry heavier objects at work or play the same sports. The diagnosis of elbow instability is made by physical examination tests performed by an experienced specialist in elbows. X-rays and advanced imaging studies such as MRI or CT scan are used only when necessary.

Treatment and Recovery

Initial treatment is directed at training the large muscle groups of the arm to overcome the deficits from the missing ligaments or areas of bone. Upper extremity therapists work with the patient to perform the training exercises for these muscles. Learning different patterns of lifting and activity helps to take stress off the elbow and reduce the instability. If the patient is still not satisfied after these measures, surgical reconstruction of the ligaments is an option that the patient may choose. Reconstruction is done to the exact anatomy of the original ligaments through the smallest incisions possible. Most importantly, however, is a rapid therapy program designed to restore good motion and function as quickly as possible. It takes the body around 12 weeks total to heal the new ligaments. Full return of activities is possible shortly after this time.