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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

Surgical

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?
No – only when they cause symptoms (locking, pain, grinding, for instance). Small loose bodies without symptoms can simply be watched.
How long does healing take after an arthroscopy?
Most patients can cope with everyday life again after a few days. Sport and loading are possible after 2-6 weeks, depending on the findings.
Can loose bodies form again?
Yes, particularly where there is joint wear or repeated loading. It is therefore important to treat any underlying condition, such as osteoarthritis.

Our elbow specialists

Experienced specialists for loose bodies and elbow surgery