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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  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • very good team work, best clinic - 06/21/17
  • joel was also my assistant but everything was great - 03/07/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • The staffs here was GREAT!!!! - 06/21/17
  • all excellent care - 07/12/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • :) - 05/11/17
  • Thank you! - 03/08/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • :) - 06/01/17
  • thank you, you all were very helpful - 03/03/17
  • thank you - 02/09/17
  • Great work. - 02/03/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • very impressed with the whole experience. - 02/28/17
  • Luis was great as well. - 01/04/17
  • always outstanding service! - 04/12/17
  • Great staff and speedy process! - 04/14/17
  • very helpful staff - 01/16/17
  • thank you for helping me - 02/03/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Great staff. - 05/02/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • excellent! dr & staff! - 06/14/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Love the Doctor and his staff. - 02/08/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Great Appoitnment - 05/11/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Great Appoitnment - 05/11/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • great job! - 03/20/17
  • 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
  • Very professional - 03/30/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17










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