Elbow Arthritis

What is Elbow Arthritis?

Elbow arthritis is a degenerative condition characterised by pain, stiffness, and swelling in the elbow joint. Arthritis is a broad term that encompasses several types of joint inflammation. The most prevalent forms of elbow arthritis are osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. Osteoarthritis typically affects older adults due to wear and tear over time. Rheumatoid arthritis is an autoimmune condition that can affect multiple joints throughout the body, including the elbow. Post-traumatic arthritis develops after an injury to the elbow, such as a fracture or dislocation.

Elbow arthritis can significantly impact daily life. It often leads to pain when bending or straightening the elbow, as well as when bearing weight through the arm. Advanced arthritis can cause pain even at rest. The condition may also result in swelling, stiffness, and reduced range of motion, making everyday activities challenging. People with arthritis in the elbow may experience difficulty in using their arms for routine tasks, and in severe cases, the joint may lock, further limiting movement.

Understanding the various types of elbow arthritis is crucial for accurate diagnosis and treatment. Here are the main types:

  • Osteoarthritis: This type is caused by the gradual wear and tear of the joint cartilage. It is most common in people over the age of 50 but can occur in younger individuals, especially those with a history of elbow injuries.
  • Rheumatoid Arthritis: An autoimmune disorder that causes the body’s immune system to attack its own tissues, including the lining of the elbow joint. This type of arthritis can affect multiple joints and is not limited to any specific age group.
  • Post-Traumatic Arthritis: Develops after an injury to the elbow joint, such as a fracture or dislocation. These injuries can damage the cartilage, leading to arthritis over time.
  • Gouty Arthritis: Caused by the accumulation of uric acid crystals in the joint, which leads to inflammation and pain. Gout can affect the elbow, although it more commonly affects other joints such as the big toe.

The severity of elbow arthritis symptoms can vary based on the extent of joint damage. Common symptoms include:

  • Pain: Pain when bending or straightening the elbow, bearing weight, and in advanced cases, even at rest.
  • Swelling: Inflammation and fluid buildup in the elbow joint.
  • Stiffness: Reduced range of motion due to extra bone formation and inflammation
  • Loss of Function: Difficulty performing everyday activities due to pain and reduced mobility.
  • Locking: The joint may lock, preventing full movement of the elbow.

Diagnosing elbow arthritis involves a comprehensive history and physical examination by an experienced elbow surgeon, such as Dr Soong Chua or Dr Jason Harvey. During the examination, the surgeon will move the arm to assess the range of motion and observe pain levels. They will also check for the presence of loose bodies, such as cartilage fragments, within the joint that may affect movement and increase discomfort.

To confirm the diagnosis and evaluate the severity of the arthritis, imaging tests such as X-rays, CT scans, and/or MRI scans are performed. These tests provide detailed images of the joint structure, helping to determine the extent of the damage. Based on the clinical examination and imaging findings, Dr Chua or Dr Harvey will develop a personalised treatment plan to address the condition effectively.

Anatomy of the Elbow Joint

The elbow joint is a complex hinge joint formed by three bones: the humerus (upper arm bone), the radius, and the ulna (the two bones of the forearm). The ends of these bones are covered with cartilage, which allows smooth movement and acts as a cushion. Ligaments and tendons surround the joint, providing stability and facilitating movement. The joint is encapsulated by a synovial membrane that produces fluid to lubricate the joint.

In elbow arthritis, the cartilage breaks down, causing pain and stiffness as the bones rub against each other.

Treatment and Surgery Options

Non-Surgical Treatment Options

Depending on the individual case, and the extent of the arthritis, a non-surgical approach may be viable. These can include:

  • Rest and Activity Modification: This involves avoiding activities that exacerbate pain and giving the joint time to heal. Resting the joint can help reduce inflammation and alleviate pain. Using supportive devices such as braces or splints can also aid in minimising movement and providing stability during the healing process.
  • Physiotherapy: Under the advice of a qualified physiotherapist, tailored exercises can be designed to improve range of motion, strengthen the muscles around the joint, and reduce pain. 
  • Pain Medications: Pain relievers and anti-inflammatory drugs can be used to manage symptoms for short-term relief.
  • Injections: An injection such as a steroid into the joint may be appropriate to reduce inflammation and delay the need for surgical intervention.

Elbow Arthritis Surgery Options

When non-surgical treatments are insufficient, surgical options may be considered to alleviate symptoms and restore function. Surgical treatments include:

  • Arthroscopic Surgery: Minimally invasive surgery to remove loose bodies, repair cartilage, and release soft tissues that may be restricting movement.
  • Synovectomy: Removal of the inflamed synovial membrane that is causing pain and swelling.
  • Osteotomy: Cutting and realigning bones to reduce pressure on the joint.
  • Total Elbow Replacement: Replacing the damaged joint with an artificial implant in severe cases where other treatments have failed.

Elbow arthritis can be effectively managed with a combination of non-surgical and surgical treatments, tailored to the individual’s condition and lifestyle. Early diagnosis and intervention by a specialist such as Dr Soong Chua or Dr Jason Harvey can help maintain joint function and reduce discomfort.

Downloadable info sheets related to Elbow Arthritis

These notes from OrthoSport Victoria are for educational purposes only and are not to be used as medical advice. Please seek the advice of your specific surgeon or other health care provider with any questions regarding medical conditions and treatment.