Mr. Wu, 55, is a tennis enthusiast. He likes playing tennis since he was young. After several powerful swings, his elbow began to make strange noises, but he didn't care. Until his elbow suddenly reached a certain angle, the pain could not pass on. After seeing a doctor, many orthopedic surgeons judged that it should be tennis elbow, but Mr. Wu evaded backhand and cut the ball and volleyed it with one hand, which still hurt. Taking medicine, injections and wearing protective gear are all ineffective. I was introduced to Huang Dingjun, Orthopedic Department of East Taiwan Province University.
The x-ray of the free body did not show the need for MRI diagnosis.
Dr. Huang Dingjun from the Department of Orthopaedics, Zhudong Branch of National Taiwan University Hospital said that the patient's X-ray looks normal because there are loose bodies in the joints, so the diagnosis was made after MRI. The free body in human joints may be osteochondral shedding. If it falls from the joint surface, it may become bigger and bigger in the joint, making the joints with small space, such as elbow joint and ankle joint, cause pain and limit the range of motion of the joint.
Elbow arthroscopy has the advantages of small wound and quick recovery, and the world champion can still win the championship after surgery.
In terms of treatment, the traditional open surgery in the past required a large incision because of the large instruments and unclear vision, which may lead to elbow joint stiffness and functional loss. At present, elbow arthroscopy only needs two or three wounds less than half a centimeter, and the free body can be taken out, which reduces the injury and recovers quickly; King Jokovic of the world and King Lu Yanxun of Taiwan Province Province both underwent arthroscopic elbow surgery, but they can still resume their games and return to the throne.
Rheumatoid arthritis should be treated as soon as possible, and minimally invasive elbow replacement should be done in severe cases.
Elbows don't bear the weight like knees and hip joints, so there may be less degenerative arthritis. When there is a loose body, we should also pay attention to whether it is rheumatoid arthritis, which may invade the elbow joint. Dr. Huang Dingjun pointed out that because rheumatoid arthritis is a chronic disease, it needs long-term medication to avoid irreversible damage to the elbow joint. If you have severe rheumatoid arthritis and your elbow can't move, you can consider minimally invasive elbow replacement surgery at this time to restore the elbow function to cope with daily life.
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