Go Back   Rearm Yourself Community Forum > Main Category > Main Forum

Reply
 
Thread Tools Display Modes
  #1  
Old 03-30-2015, 09:25 AM
mtomaino's Avatar
mtomaino mtomaino is offline
Super Moderator
 
Join Date: Mar 2010
Posts: 144
Default Pain, swelling, and clicking following tennis elbow surgery

This past week I received a question via my drtomaino.com website from a patient who had tennis elbow surgery several months ago. Her preoperative MRI did not show any ligamentous pathology, and she proceeded with surgical intervention for lateral elbow pain that did not respond to therapy or cortisone. However, she continued to experience not only pain, but clicking--- a feeling of instability--and swelling. An MRI now reveals a synovial fistula and incompetence of the lateral ulnar collateral ligamant (LCL).

Firstly-----these are unusual complications following tennis elbow surgery, and reflect leakage of joint fluid through the capsuloligamentous housing of the joint, and through the extensor musculotendinous layer into the suncutaneous tissue. The clicking/feeling of the joint slipping may reflect posterolateral rotatory instability, which occurs when the LCL is incompetent---either stretched, attenuated, or torn.

Unfortunately these symptoms and signs are not likely to resolve without operative treatment. Treatment will most likely require LCL repair or reconstruction, and extensor closure; rotation of a pedicled anconeous muscle flap may be necessary to afford a durable closure to treat the fistula.
Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump


All times are GMT -4. The time now is 03:07 PM.


Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.