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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  • All the staff and Doctor Henry were great! - 05/01/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • joel was also my assistant but everything was great - 03/07/17
  • Great work. - 02/03/17
  • Great Appoitnment - 05/11/17
  • 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
  • every body was excelent - 01/09/18
  • :) - 05/11/17
  • thank you for helping me - 02/03/17
  • 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
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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
  • Great staff and speedy process! - 04/14/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • 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
  • thank you, you all were very helpful - 03/03/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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 whole group was very good, I had an excellent experience. - 11/09/17
  • 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
  • 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
  • very impressed with the whole experience. - 02/28/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • 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
  • 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
  • all excellent care - 07/12/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • no complaints hand is coming along very well - 11/06/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • 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
  • very good team work, best clinic - 06/21/17
  • Very professional - 03/30/17
  • 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
  • every thing was really great - 10/19/17
  • 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
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • an experience beyond expectation - 10/06/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • thank you - 10/16/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • Love the Doctor and his staff. - 02/08/17
  • Outstanding service and results - 10/30/17
  • Very efficient practice - 10/19/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • :) - 06/01/17
  • 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
  • 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
  • The staffs here was GREAT!!!! - 06/21/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • always outstanding service! - 04/12/17
  • 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
  • great job! - 03/20/17
  • Great staff. - 05/02/17
  • 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 repairing my injury and being kind in the process. - 01/10/18
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Awesome experience. Luis rocks! - 04/06/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • Thank you! - 03/08/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17










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