Elbow/Forearm Tendon Ligament Tear

The elbow is a composite joint of the upper limb made up of articulation humerus and two bones of the forearm, primarily, ulna, and radius. It is one of the essential joints of the upper limb and allows the basic moves including the flexion as well as the extension of the upper limb and rotation of the forearm.

The ulnar collateral ligament, the annular ligament, and radial collateral ligament support the elbow joint. These ligaments give stability and strength to the elbow joint.
The elbow joint also has the appendage of the common flexor and common extensor tendons. These groups of muscle help in rotational movement of forearm as well as movements of the wrist and hand

The common conditions within the tendons throughout the elbow joint comprising of the tennis elbow, and the golfer’s elbow, which occur from an overuse injury to the tendons or result from repeated activities such as sports, weight lifting, or routine activities.

The ligaments around the elbow may be injured secondary to a separation, rupture, trauma, or any accident. The sprain or trauma may result in repetitive form stress, overuse or a direct injury.

Symptoms, The common symptoms of injury to the elbow joint and its surrounding structure, include swelling, which may reach from the elbow to forearm and palm and be aggravated by movements of the wrist and restitute movement. Sometimes instability of the joint may also be-be seen.

Il gomito è unarticolazione composita dellarto superiore costituita da omero articolare e due ossa dellavambraccio principalmente ulna e raggio

Surgical procedure
Tendon repair
The repair of the damaged tendon is broadly classified into two types – tendon release and tendon debridement
This procedure is regularly used in for the management of tendinitis. IN this produce the surgeon removed and damaged tissue from the tendon and cleans the tendon.
Tendon release
It is the most regularly used surgery for tendon repair. In this method, the surgeon locates the appendage of extensor or flexor tendon on the elbow and splits the injured tendon as well as removes the scar tissues or another overgrowth, surrounding the tendon. Occasionally the loose end of the tendon may be sutured to the surrounding connective tissue (fascia)
Ligament reconstruction

Ligament reconstruction is often thought to be in patients with ligament rupture. Your surgeon will make an incision over the elbow. Care is exercised to move muscles, tendons, and nerves out of the way. The donor’s tendon is harvested from either the forearm, around the elbow joint. The donor’s tendon is inserted through the of the upper arm and the forearm, around the elbow joint. The donor’s tendon is inserted through the drilled holes in a pattern similar to that of the primary ligament complex. The tendon is then connected to the bone surfaces with special sutures. The scion is closed with suture and overlaid with sterile dressings. A splint is applied to maintain the elbow for a dew weeks. After the surgery, you might be advised for a regular follow-up and also for the rehabilitation program for better and quickly recover.

The typical complications of the elbow ligament and tendon repair include infection, injury adjacent nerve blood vessels and a decline of strength or flexibility of the elbow joint.

The success of the surgery depends on the postoperative rehabilitation program which includes the use of removable splint immediately after as well as ice therapy, electrical stimulation, and massage for reducing pain, swelling or muscle spasm. Isometric exercise, strengthening, and range do motion excuse may be useful for long-term rehabilitation.