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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  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • Great staff and speedy process! - 04/14/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • Thank you for the help. - 11/10/16
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • great job! - 03/20/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • Great work. - 02/03/17
  • Luis was great as well. - 01/04/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • Awesome as always! - 10/11/16
  • great - 10/06/16
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • always outstanding service! - 04/12/17
  • Wonderful work no issues - 11/17/16
  • 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
  • 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • thank you - 02/09/17
  • 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
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • Amazing Doctor and staff. - 11/16/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • ;) - 09/08/16
  • Everyone is always nice - 12/14/16
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • very impressed with the whole experience. - 02/28/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Love the Doctor and his staff. - 02/08/17
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • very helpful staff - 01/16/17
  • thank you, you all were very helpful - 03/03/17
  • Great detailed information. - 11/03/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Awesome staff.. - 09/26/16
  • Thank you! - 03/08/17
  • thank you for helping me - 02/03/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • Very professional - 03/30/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • 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 friendly staff - 10/28/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • I enjoyed my visit - 11/14/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • joel was also my assistant but everything was great - 03/07/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16










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