Loose bodies in the elbow
Loose bodies – a consequence of earlier injuries
An earlier injury can loosen pieces of cartilage or bone, which then move freely within the joint. They can grind away the cartilage like grit in a gearbox. They can also jam briefly and cause the joint to lock, or jam permanently and restrict movement.
Symptoms
Loose bodies – detached pieces of cartilage or bone within the joint – can cause quite different symptoms, depending on their size, their position and how freely they move in the joint.
Pain
A stabbing pain when a loose body jams – in between, often a dull pain under load.
Restricted movement
Locking, catching, snapping, clicking and grinding can occur.
Swelling
Repeated jamming can lead to inflammatory reactions
How is the diagnosis made?
Loose bodies in the elbow are first suspected from a targeted physical examination and from the account of the typical symptoms. Imaging then confirms them: an X-ray for bony loose bodies, or an MRI scan for pieces of cartilage that contain no calcium. In some cases an ultrasound also helps to make moving structures within the joint visible.
Treatment options for loose bodies
Small loose bodies that cause no symptoms do not always have to be removed – in such cases it is often enough to keep an eye on them. Where they do cause pain, locking or restricted movement, arthroscopic removal usually makes sense.
Treatment options
Non-surgical and surgical – we will find the right approach for you
Arthroscopy
Loose bodies and adhesions are removed precisely, and the joint is cleaned and smoothed at the same time where needed
Frequently asked questions
Do all loose bodies have to be removed?
How long does healing take after an arthroscopy?
Can loose bodies form again?
Our elbow specialists
Experienced specialists for loose bodies and elbow surgery