Arthritis of the elbow most commonly seen:
- Post traumatic.
- Osteoarthritis (normal wear and tear).
- Inflammatory - Rheumatoid.
- Stiffness – reduction in functional range of motion
- Locking, catching
Rheumatoid arthritis with destruction of joint is seen less often now due to better medical and immunomodulatory treatments. The following stages:
- Mild synovitis – osteopenia. Treatment is largely medical management.
- Moderate synovitis – narrow joint space – treated by synovectomy if drugs cannot relieve the pain. This can be done arthroscopically.
- Severe synovitis – loss of articular cartilage - resurfacing arthroplasty.
- Mechanical instability – destroyed joint - semi constrained arthroplasty.