Management of Elbow Osteoarthritis

Abstract

Primary osteoarthritis of the elbow is characterized by painful stiffness, mechanical symptoms, and the presence of hypertrophic osteophytes. Preservation of the joint space is common and may account for the good results that are usually achieved with nonoperative treatment and nonprosthetic arthroplasty. Elbow osteoarthritis typically affects middle-aged men who engage in strenuous manual activity. Open or arthroscopic capsular release and removal of impinging osteophytes are the primary surgical treatment options. The relative sparing of joint cartilage makes elbow osteoarthritis unique in this regard and amenable to this treatment. Arthroplasty is rarely indicated for primary osteoarthritis of the elbow and should be reserved for elderly individuals with low demands for whom other treatment options have failed.

Skeletal evidence of craft production from the Ch'iji Jawira site in Tiwanaku, Bolivia

“…While the exact etiology of OA is unknown, it has been associated with non-bilateral recurring motion injuries on joint surfaces (Bridges, 1992;Bridges, 1995;Cope et al, 2005;Felson, 2004;Felson et al, 1991;Felson and Zhang, 1998;Gramstad and Galatz, 2006;Huiskes, 1982;Jurmain, 1999;Larsen, 2000;Schrader, 2012;Weiss and Jurmain, 2007). OA has been used in prior bioarchaeological research to discuss task-based repetitive motion injuries within joints, estimating motions used over and over again, such as grinding grain or weaving textiles (Bridges, 1989;Bridges, 1991a;Bridges, 1992;Cope et al, 2005;Jurmain, 1999;Kennedy, 1989;Klaus et al, 2009;Larsen, 2000: 107, Pearson andRoberts and Manchester, 1995: 150 and others).…”

Elbow Arthrosis

“…Özellikle ağır iş yapan orta yaş erkek grupta daha sık görülür [4,5]. Dominant dirsekte fleksiyondan ziyade ekstansiyonda oluşan mekanik ağrı ve eklem hareket açıklığında azalma dirsek artrozu için karakteristiktir [6,7]. Ekstansiyonda kısıtlılıkla birlikte supinasyon ve pronasyonun etkilenmemesi de dirsek artrozunda tipiktir.…”

Shoulder and Elbow Osteoarthritis

“…Secondary causes include fracture, repetitive stress, valgus extension overload, osteochondritis dissecans, and synovial chondromatosis [ 8 ].…”