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In severe Osteoarthritis when nonoperative treatment fails Total Knee Replacement is the only option available. Definition: Osteoarthritis is also called wear and tear arthritis or degenerative joint disease.
Primary osteoarthritis occurs when the cartilage (the protective tissue that surrounds the ends of bones, allowing them to glide over each other when we move) wears away. Osteoarthritis can also develop in a joint which has suffered an injury (this is known as secondary osteoarthritis), or it can occur in joints damaged by other types of arthritis such as gout and rheumatoid arthritis. For some people with osteoarthritis changes are so subtle, appearing gradually over time, that they are hardly notice them.
Location: Symptoms usually start on one side of the body (although it can spread to the other side eventually). Pain: Pain only usually occurs when you move the affected joint (unlike rheumatoid arthritis where the joint aches, even if you dona€™t move it).
Stiffness: Joint(s) may feel stiff after a period of inactivity, such as first thing in the morning when you wake. Lumps on the fingers: Called Heberdena€™s and Boucharda€™s nodes, these lumps can develop on the middle or end joints of the fingers. Unless osteoarthritis is caused by an injury, it is likely to affect both knees eventually (although it may start in one knee). Anything that requires hip movement causes pain, such as putting on your shoes or getting in and out of a car.
The thumb, top joint of the fingers (closest to the nail) or the middle joint of the finger can be affected. Antiinflammatory drugs (like aspirin or Tylenol) are not effective in treating osteoarthritis although they can be effective painkillers. Cortisone shots injected directly into the joint can give almost instant pain relief, but the number of shots you receive in a year are limited because it can cause joint damage. Ultimately the only way to definitively treat a troublesome joint is to replace it with an artificial one.
Exercise: Gentle exercises like swimming, biking, walking, yoga and tai chi can help strengthen the muscles around the joints.
Weight loss: Losing weight has little effect on symptoms of osteoarthritis once degeneration of the cartilage has begun. Hot and cold therapy: In the early phases of the condition both heat and cold can relieve pain. Also: natural treatments for arthritis, for information on natural therapies like acupuncture. Please Note: Information provided on this site is no substitute for professional medical help. TweetElbow injuries in the form of fracture and dislocation are a common cause of sore elbow, and can occur after a fall on the elbow or a bike accident. Ask a Doctor Online Now!The elbow joint is formed by the lower end of the arm bone humerus, and the upper ends of forearm bones radius and ulna. Radio-humeral joint is a ball and socket joint and helps in forearm rotation as well as bending. In order to support these movements, the symmetry and alignment of the bones have to be maintained.
This can be a fracture of lower end of humerus (arm bone), or the olecrenon or radial head. Fracture of the lower end of humerus is a complex injury considering the characteristic shape and angulations of this part.
Elbow surgery for fractures of the elbow involves a meticulous rearrangement of the displaced bone fragments and securing them with the help of bone screws and metallic wires (Picture 2).


Ask a Doctor Online Now!Elbow dislocation (Picture 3)mainly consists of displacement of the olecrenon from its corresponding socket (olecrenon fossa) on the lower end of humerus. Elbow injuries are frequently complicated by concurrent injury to the ulnar or radial nerves, either from primary injury or during surgical treatment.
Myositis ossificans commonly occurs as a late consequence of elbow injury and is largely preventable by use of the NSAID Indomethacin, which is the analgesic of choice in elbow injuries.
Ask a Doctor Online Now!Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis.
Licence fees: A licence fee will be charged for any media (low or high resolution) used in your project. Also called wear-and-tear arthritis or degenerative joint disease, this is characterized by progressive wearing away of the cartilage of the joint. It is more common in patients who are overweight, and weight loss tends to reduce the symptoms associated with knee arthritis. However cracking and creaking noises can also occur in a€?normala€™ joints and does not necessarily indicate anything is wrong with the joint.
For example, he will want to know which joints are affected and if pain only occurs when you use move those joints. Alternatively lubrication injections (Hyalgan, Synvisc) can offer some pain relief by providing temporary cushioning in the joint. Children are especially susceptible to these injuries as elbows are more accessible to injury while playing.
Even a slight change in the arrangement of the bones leads to restrictions in elbow movement and later on elbow arthritis.
Even a simple 2 part fracture has to be surgically treated to restore the alignment of the elbow. The pre-operative evaluation of a patient consists of a 3d-CT scan, which tells us about the exact position of the broken pieces of the elbow bones, so that one can carefully plan the approach for the surgery as well as the types of screws or wires that are needed.
These are noticed in the form of tingling and numbness in hand or fingers, or weakness in wrist and finger movements.
I have worked in this field for the past 3 years and have significant clinical experience to guide students and patients on any topic in orthopedics. As the protective cartilage is worn away by knee arthritis, bare bone is exposed within the joint. There is also a genetic predisposition of this condition, meaning knee arthritis tends to run in families.
As a result bones are exposed and begin to grate against each other causing pain when you move. Eventually the bones grow lumps on the sides and develop fluid filled cysts which make movement even more difficult. Although hip pain is common, you may also feel pain in the knees, or even the thighs, ankles or buttocks.
An exception is osteoarthritis of the hip which for some unknown reason is often relieved with nonsteroidal anti-inflammatory agents like Tylenol typically used for rheumatism. Surgery should only be considered where the patient is so advanced that pain interferes with sleep.
Moreover, the elbow of a child is not well developed and contains mainly cartilaginous tissue, which is not as hard as bones. In the presence of multiple small pieces which cannot be reconstructed surgically, one has to go ahead with elbow replacement (very expensive).
Elbow surgery is specifically needed only if there are more than 2 parts, or for concurrent fracture of the radius or humerus. Many times removal of the broken radial head is chosen over trying to put it back in place.


Even the duration of the surgery is quite long and appropriate anesthesia fitness has to be taken. The strong pull of the triceps muscle on the olecrenon prevents it from coming back into the olecrenon fossa.
Other factors that can contribute to developing knee arthritis include trauma to the knee, meniscus tears or ligament damage, and fractures to the bone around the joint. As time goes on the bones thicken and lumps can grow on the sides called bone spurs or osteophytes.
Elbow movements are quite complex, occurring in different planes, like bending of the elbow as well as forearm rotation in screwing movements.
Many important nerves of the hand pass closely along this part and are at risk to injury during surgical repair of the fracture.
This is because, more than 6 hours after injury, a radial head, which has lost its blood supply, becomes non-viable (dead).
In the event of such an injury, one must carefully support the forearm in a comfortable position and seek prompt medical care. Elbow anatomy deals with the unique arrangement of elbow bones to provide all these movements. The friction of nerves and muscles with the metallic parts implanted in the elbow can cause damage even months to years after the initial injury. Forcible bending or straightening of the elbow should not be attempted as it aggravates the injury to neighboring blood vessels and nerves. Despite the suffix '-itis' which implies inflammation, the pain associated with osteoarthritis is due primarily to loss of cartilage rather than inflammation. However scientists have identified one gene mutation (gene defect) that affects collagen, an important component of cartilage, that has been found in people with an inherited kind of osteoarthritis. Young people with knee deformities (bowlegs or knock-knees) that predispose them to osteoarthritis may be offered a surgery called tibial osteotomy. However, both forms of injury are possible at any age group, and so they have to be carefully differentiated. Confirmation of the presence of dislocation with an X-ray and manipulation by a trained orthopedist are all that is needed to treat this condition.
Osteoarthritis tends to occur in weight-bearing joints like the hips, knees, spine, big toe and thumb. Women with knee arthritis (associated with cartilage break down) in particular may pass this gene onto daughters. A sore elbow is present in both, but elbow dislocation is associated with pronounced elbow stiffness, whereas elbow fracture causes severe pain with a relatively mobile elbow.
However, one has to keep the forearm in an elbow pouch for 6 weeks, to allow the damaged ligaments and soft tissues of the elbow to heal.
The major disadvantage of this surgery is that the patient will need crutches for several months.
This distinction is only possible after treatment with an injectable analgesic, as severe pain can prevent a person from moving the elbow, giving the false impression of stiffness. Physical therapy is essential after this immobilization to regain full elbow function and overcome the ensuing elbow stiffness. Urgent visit to an ER with investigations like X-rays are needed for rapid diagnosis and institution of treatment.



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