At Shoreline Orthopaedics, our orthopaedic surgeons use a truly collaborative approach so our patients have the benefit of multiple expert opinions, without having to go elsewhere to obtain them.
Shoreline Orthopaedics provides more comprehensive services, state-of-the-art options, technologies and techniques than anyone else in the area.
The following information is provided to help you understand what you can expect from us regarding policies and procedures, and also what is expected of you before and after treatment or procedures.
The elbow is a complex joint that allows bending and straightening (flexion and extension), and forearm rotation (pronation, palm down; and supination, palm up). The elbow is formed by the joining of three bones: the upper arm (humerus), the forearm on the pinky finger side (ulna), and the forearm on the thumb side (radius). The surfaces of these bones, where they meet to form the joint, are covered with articular cartilage, a smooth substance that protects the bones and acts as a natural cushion to absorb forces across the joint. A thin, smooth tissue, called synovial membrane, covers all remaining surfaces inside the elbow joint. In a healthy elbow, this membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost all friction as you bend and rotate your arm.
Held together by muscles, ligaments and tendons, the elbow is a combination hinge and pivot joint. The hinge part of the elbow allows the arm to bend like the hinge of a door, while the pivot part makes it possible for the lower arm to twist and rotate. There are several muscles, nerves and tendons that cross at the elbow.
Lateral epicondylitis, more commonly known as tennis elbow, is a painful condition that occurs when overuse results in inflammation of the tendons that join the forearm muscles on the outside of the elbow. (Golfer's elbow, medial epicondylitis, is a similar condition that affects the inside of the elbow.) Recent studies show that tennis elbow is often due to damage to the extensor carpi radialis brevis (ECRB), a specific forearm muscle that helps stabilize the wrist when the elbow is straight.
Participation in sports, work, or other recreational activities that require repetitive and vigorous motion may result in the overuse that leads to tennis elbow. Many who are not athletes also suffer from this condition.
Common symptoms of tennis elbow include:
The majority of patients (approximately 80-95%) have success with nonsurgical treatment.
If your symptoms do not respond after 6 to 12 months of nonsurgical treatments, your orthopaedic surgeon may recommend surgical treatment. With any surgery there are some risks, and these vary from person to person. Complications are typically minor, treatable and unlikely to affect your final outcome. Your orthopaedic surgeon will speak to you prior to surgery to explain any potential risks and complications that may be associated with your procedure.
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