Elbow Osteoarthritis
Original Editor - George Prudden
Lead Editors- George Prudden, Niha Mulla, Kim Jackson, WikiSysop and Lucinda hampton;
Clinically Relevant Anatomy
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Mechanism of Injury / Pathological Process
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There are two causes of elbow osteoarthritis: primary and post-traumatic
Primary[edit | edit source]
Post-traumatic[edit | edit source]
Clinical Presentation[edit | edit source]
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Diagnostic Procedures[edit | edit source]
Physical examination[edit | edit source]
Imaging[edit | edit source]
X-ray is most commonly used when imaging the elbow joint. Expect to see projections for anteroposterior, lateral and oblique directions. On viewing an x-ray the central joint space is usually preserved with osteophytes typically located at the anterior and posterior aspects. It is important to review previous images especially when there is a history of trauma. With such a history, clinicians should look out for malalignment, incongurency of the joints, or evidence of heterotopic ossification. Stress radiographs are sometimes used when there is a history of instability.
CT is useful in complex cases such as heterotopic ossification, intra-articular loose bodies, bony deformity or malunion is suspected in the setting of previous fracture.
MRI has a limited role in diagnosis and is used only in rare occasions.[1]
Outcome Measures[edit | edit source]
- American Shoulder and Elbow Surgeons (ASES) Elbow Outcome Score
- Broberg and Morrey Elbow Scale
- Mayo Clinic Performance Index for the Elbow
- Hospital for Special Surgery (HSS) Assessment Scale
- Liverpool Elbow Score[2]
Management / Interventions
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Differential Diagnosis
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Key Evidence[edit | edit source]
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Resources
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Case Studies[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
References[edit | edit source]
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- ↑ 2. Biswas D, Wysocki RW, Cohen MS. Primary and Posttraumatic arthritis of the elbow. Arthritis. 2013;2013:1–6.
- ↑ Smith MV, Calfee RP, Baumgarten KM, Brophy RH, Wright RW. Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery. The Journal of Bone and Joint Surgery American volume. 2012;94(3):277-285. doi:10.2106/JBJS.J.01744.