Understanding Elbow Arthroscopy

The elbow joint consists of three bones: the humerus bone of the upper arm, and the ulna and radius bones of the forearm. The ulna and the humerus meet at the elbow and form a hinge, allowing the arm to straighten and bend. Life without this ability would be difficult, indeed.

Thanks to elbow arthroscopy, conditions inhibiting the normal use of the elbow can be treated, relieving pain and enabling one to freely use their elbow again.

What is elbow arthroscopy?

Missouri Orthopedic Care St. Louis, Advanced Sports Medicine

Arthroscopy is a procedure that allows surgeons to inspect, diagnose, and repair problems such as releasing scar tissue to improve range of motion, removing loose cartilage and bone fragments, repair lesions, among others.

Common procedures include:

  • Removing loose fragments in the joint
  • Repairing fractures
  • Treatment of tennis elbow (lateral epicondylitis)
  • Treatment of osteoarthritis (arthritis that causes wear and tear)
  • Treatment of rheumatoid arthritis (inflammatory arthritis)
  • Treatment of elbow stiffness often caused by fractures and other injuries

How is elbow arthroscopy performed?

Under general or regional anesthesia, a fiber-optic camera is inserted through a cut the width of a pencil in the elbow, magnifying and projecting the structures of the elbow on a television screen. This allows the surgeon to diagnose the condition. Several other small cuts allow insertion of additional instruments into the joint for treatment.

Recovery and rehabilitation.

Arthroscopy is usually an outpatient procedure; expect to return home with a bandage over your incisions, your arm possibly placed in a splint to keep it still and instructions to put ice on it and elevate it regularly for the next couple of days. You more than likely will be given instructions for certain exercises to perform to build strength and increase movement and may even need physical therapy to complete the rehabilitation process. While recovery from elbow arthroscopy is often faster than that of open surgery, expect it to take several weeks for your joint to completely recover.

For more information on elbow arthroscopy and how we can help, contact Missouri Orthopedics & Advanced Sports Medicine.

Hip Arthroscopy: A Minimally Invasive Option


The hip-joint is one of the most amazing and important joints of the body. A ball and socket joint, it is one of the most flexible, providing a level of mobility that allows the femur to rotate freely through a 360-degree circle and is capable of supporting half of the body’s weight along with any other forces acting upon the body.

Estimable as it may be, like any other part of the body, the hip-joint is capable of suffering several painful conditions due to falls or repetitive use that is common in athletes. The normal wear and tear that comes with age plays its part as well and can lead to arthritis or tears of tendons and ligaments.

Non-surgical treatments that include rest, physical therapy and injections to reduce inflammation can help but some injuries and even diseases demand a more aggressive approach. Bone spurs around the socket; dysplasia and snapping hip syndrome are a few of the conditions that may fall into this category.

In cases like these, your doctor may recommend hip arthroscopy, a procedure where your surgeon inserts a small camera, called an arthroscope, into your hip-joint. The camera then displays pictures on a screen, allowing the doctor to use these images to guide miniature surgical instruments to the affected area.

Hip arthroscopy is generally performed under general anesthesia and on an outpatient basis.

Recovery will likely include crutches for a specified amount of time, as well as physical therapy to help restore strength and mobility.

For more information on how we can help, contact us

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Most Common Youth Sport Injuries

Youth injuries are frightening to everyone for a variety of reasons. From a parent’s perspective, knowing that your child hurt is reason enough to pull them out of any sport for the rest of their lives. Your kids – and possibly their coach – worry that they may never be able to play again.

Thankfully, our body has strong muscles and bones that make us able to re-cooperate with a little rest; or with more extreme cases, some physical therapy. While allowing your child to play a sport has its potential risks, here are some very common injuries that can arise from intramural and team sports.


Sprains & Strains

Many people can get the two of these injuries confused, but they are actually quite different. Sprains are ligament injuries that prevent excessive movement of the joints. Ankle sprains are quite common in sports like soccer, while wrist sprains can occur in football, basketball, and tennis

Strains can injure muscles or tendons. Due to the fact that we are dealing with bundles of cells that produce movement – muscles – and tissue that cushions the bones – tendons – most parts of the body are susceptible to injury.

Growth Plate Injury

The growth plate is an area in children and adolescents that holds developing tissue. When growth is complete, the tissue replaces solid bone. Long bones can include the hands and fingers, the forearms the legs, and the feet. These bone injuries are serious and should be consulted with an orthopedic surgeon.

Repetitive Motion Injuries

Hairline fractures and tendinitis are painful injuries related to stress. It’s important to know that these injuries may not always show up on hospital scans while they are still discomforting. Thankfully, a pack of ice and compression will relieve this pain quicker. In the most extreme cases, athletes need crutches, immobilization, and physical therapy.

Keeping kids active is extremely important to us. One thing to remember is that injuries should be reported as soon as they happen. Let us help you get back on the field as soon as possible. Contact us for more information on sports injuries and treatments today.

Supporting Youth After Sports Injuries

An injury for any athlete is difficult. He or she deals with physical pain, as well as a variety of powerful emotions. Sports injuries in youth can be even more difficult to handle. Kids are not simply “little adults” and therefore are not as physically, emotionally or intellectually developed. An injury to them can feel much more traumatic and “life-ending”. This is why it is important to know how to support them during and after treatment.

The initial emotions after an injury include anger, fear, frustration and discouragement. A skilled doctor can help the athlete feel secure and confident in the prescribed treatment, and support and encouragement at home will solidify that. If the injury is severe and surgery is required, it often will be the youth’s first time experiencing hospitals, anesthesiologists and all that goes along with it. Explaining what will happen and staying positive about the final outcome will help lessen any anxiety.

After surgery it is very important to follow the doctor’s orders. Do not push the child too hard, or allow the child to push himself too far either. Strictly adhering to the recommended recovery and rehabilitation plan will yield the best results, regardless of the pressures to return to the game. Studies have shown that optimism during the rehabilitation process helps the athlete’s emotions shift from the initial negative outlook on the injury to excitement and confidence in returning. Along the same lines, approaching rehab with negativity causes the child to doubt and fear that she can ever play again. Remove any pressure to be healed and perfect right off the bat.

Overall, a parent needs to remember that when helping a child cope and recover from a big injury a balance must be maintained between helping and not helping. Support them, but don’t coddle them. Don’t do things for them that they can do for themselves, even when on crutches or in a wheelchair. Allow them small achievements so they can work up to the bigger ones.

Injuries can be heartbreaking, but they aren’t the end of the road. Recovery is possible and you can help your child athlete navigate the journey back to health and success.

Contact us to learn more about how we can help with the process of healing.