CHAPTER 5 The elbow
Anatomical Features
Important Relations
Ulnar Neuritis and the Ulnar Tunnel Syndrome
In a number of cases no obvious cause for an ulnar neuritis may be found.
Osteoarthritis and Osteochondritis Dissecans
Primary osteoarthritis of the elbow joint is not uncommon in heavy manual workers. Osteoarthritis is also seen secondary to old fractures involving the articular surfaces of the elbow. It may also follow osteochondritis dissecans. Both osteoarthritis and osteochondritis dissecans may give rise to the formation of loose bodies, which restrict movements or cause locking of the joint. The joint may lock in any position, and the patient often develops the trick of unlocking the joint himself. If loose bodies are found, they should be removed to prevent further incidents of locking and to reduce the risk of their causing more damage to the articular surfaces. Joint replacement surgery in those suffering from osteoarthritis of the elbow is seldom indicated, as the physical demands are likely to exceed the capabilities of any current replacement.