Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
ELBOW LIGAMENTS


WHAT YOU SHOULD KNOW

The elbow is primarily a hinge joint that bends (flexes) and straightens (extends). Forearm rotational movement (palm up – palm down) also involves the elbow and has a relationship to elbow stability. The elbow joint is stabilized by two main ligaments: the medial collateral ligament (MCL) and the lateral ulnar collateral ligament (LUCL). These ligaments are both very strong. It requires major force to rupture them, which usually occurs during specific trauma events. Sometimes the damage happens over time as in baseball pitchers that throw millions of pitches until eventually the medial collateral ligament “pops” during a particularly forceful throw.

MEDICAL HISTORY

The details of the specific trauma event are important to understand the types of forces that supposedly produced the injury and the direction of those forces. If the forces involved do not appear to be enough to have caused a ligament rupture by themselves, other factors that may have predisposed the ligament to already be weak must be sought out. The nature of the patient’s lifestyle and work are taken into account when selecting treatment options.

EXAMINATION

If the trauma was recent, the location of tenderness and swelling help to localize the ligament injury. If the ligament rupture was a long time ago, these signs are usually absent. The doctor will attempt to perform a manual test of the ligament’s stability, but an awake patient can easily react with muscle spasm in the arm, making it difficult to be sure if the ligament is really unstable or not. Sometimes, the final determination of the ligament’s stability is not made until the patient is examined under anesthesia.

ADDITIONAL TESTS: Basic x-rays should be performed to assess for any abnormalities in the bone structure of the elbow joint, but basic x-rays do not give direct information about ligaments. Advanced imaging studies such as a magnetic resonance (MR) arthrogram can be used to provide more information about ligament rupture. These studies are evolving in their technology, but current accuracy levels still leave a fair degree of uncertainty regarding ligament status.

TREATMENT OPTIONS

  NON-SURGICAL LIGAMENT RECONSTRUCTION
CONSISTS OF Muscle strengthening exercises Surgically creating a new ligament to replace the torn one
FEATURES Goal is to compensate for the unstable ligament New ligament made from an expendable tendon taken out of the forearm
ADVANTAGES Avoids surgery; A low demand patient may be satisfied enough Creates an actual ligament that can stand up to heavy demands
DISADVANTAGES Joint is not actually made stable; insufficient treatment for an athlete or heavy work Tendon tissue is 10 times less elastic than ligament tissue; Elbow can become stiff after surgery

RECOVERY

Open reconstructive surgery of the elbow can easily lead to stiffness. A carefully designed rehabilitation program must be followed to both promote early motion and ensure that the new ligament is not pulled apart while it heals. In the first 6 weeks after surgery, the patient will follow a protected motion program. Then he / she will pursue unlimited motion followed by a gradual strengthening program. High force strengthening is not allowed until after 3 months of ligament healing. Complex multi-directional motions of the arm such as those used in ball-throwing sports are not permitted until after 6 months of initial rehabilitation.
 
 
 
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  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • everyone was very helpful. - 10/02/18
  • every thing was really great - 10/19/17
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Great doctor and good staff - 10/10/18
  • you were very good, thank you very much - 05/17/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • Awesome staff. - 09/25/18
  • very good team work, best clinic - 06/21/17
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • excellent! dr & staff! - 06/14/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • thank you - 10/16/17
  • an experience beyond expectation - 10/06/17
  • Outstanding service and results - 10/30/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • great doctor - 05/23/18
  • :) - 06/01/17
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • every body was excelent - 01/09/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • Very happy I came here for the surgery, etc. - 06/09/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • The visit was good - 09/27/18
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • all excellent care - 07/12/17
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • Very efficient practice - 10/19/17
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • no complaints hand is coming along very well - 11/06/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17










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