The Journal of Bone and Joint Surgery (American). 2006;88:421-430.
doi:10.2106/JBJS.E.00568
© 2006 The Journal of Bone and Joint Surgery, Inc.
Management of Elbow Osteoarthritis
Gregory D. Gramstad, MD1 and
Leesa M. Galatz, MD1
1 Department of Orthopaedic Surgery, Washington University School of Medicine,
Campus Box 8233, 660 South Euclid Avenue, St. Louis, MO 63110-1093. E-mail
address for L.M. Galatz:
galatzl{at}msnotes.wustl.edu
The authors did not receive grants or outside funding in support of their
research for or preparation of this manuscript. They did not receive payments
or other benefits or a commitment or agreement to provide such benefits from a
commercial entity. No commercial entity paid or directed, or agreed to pay or
direct, any benefits to any research fund, foundation, educational
institution, or other charitable or nonprofit organization with which the
authors are affiliated or associated.
Primary osteoarthritis of the elbow is characterized by painful stiffness,
mechanical symptoms, and the presence of hypertrophic osteophytes.
Preservation of the joint space is common and may account for the good results
that are usually achieved with nonoperative treatment and nonprosthetic
arthroplasty.
Elbow osteoarthritis typically affects middle-aged men who engage in
strenuous manual activity.
Open or arthroscopic capsular release and removal of impinging osteophytes
are the primary surgical treatment options. The relative sparing of joint
cartilage makes elbow osteoarthritis unique in this regard and amenable to
this treatment.
Arthroplasty is rarely indicated for primary osteoarthritis of the elbow
and should be reserved for elderly individuals with low demands for whom other
treatment options have failed.

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