MQ Health - Macquarie University

Elbow clinic

MQ Health Elbow Clinic

MQ Health provides specialist care of complex elbow conditions causing pain, stiffness or instability through the MQ Health Elbow Clinic. The clinic is available to all patients who are looking for a high level of specialist review.

Our elbow specialists have extensive experience, expertise and training in an academic research environment. We provide care for patients who have complex elbow problems causing pain, stiffness or instability.

Our dedicated specialists can help you learn about your condition – including whether you should proceed with surgery or another treatment.

About the elbow

The elbow is one of the most complex joints in the human body. The elbow is anatomically a trocho-ginglymoid joint, meaning that it has trochoid (rotatory) and ginglymoid (hinge-like) motion.

An understanding of the complex bony anatomy of the elbow, the soft tissue’s that provide stability as well as an intimate understanding of the nerves and vessels that surround the elbow joint is imperative when surgically treating this very intricate and complex joint.

Many people are prone to elbow injuries, whether through work, sports or an unexpected fall. Major injuries often require surgery.

The elbow joint can undergo degenerative change leading to arthritis with pain and stiffness. The elbow joint may also become unstable due to ligament tears usually due to certain repetitive movements or an injury.

In most elbow conditions, surgery is only required if all other non-surgical treatments haven’t produced the desired result.

About the specialist

Dr Sumit Raniga is a Fellow of the Royal Australasian College of Surgeons. A subspecialist orthopaedic shoulder and elbow surgeon, Dr Raniga has three years of dedicated post-fellowship training in world-renowned centres of excellence.

Dr Raniga provides the highest standard of evidence-based management and surgical treatment of complex elbow problems.

Multi-disciplinary approach

The clinic also collaborates with pain and infectious diseases consultants when complex problems require input from other specialists

The MQ Health Physiotherapy department works closely with our clinic and the physiotherapy team also have a specialist interest in rehabilitation of complex shoulder problems.

Conditions treated

The MQ Health Elbow Clinic offers both non-surgical and surgical treatment options for the full range of elbow conditions and injuries.

Elbow arthritis

  • Elbow arthroscopy - arthroscopic osteocapsular arthroplasty
  • Total elbow replacement
  • Radial head replacement
  • Radial head excision

Post traumatic elbow contracture (stiffness)

  • Open contracture release
  • Elbow arthroscopy

Elbow ligament injuries

  • Medial collateral ligament repair/reconstruction
  • Lateral (ulnar) collateral ligament repair/reconstruction

Tendon ruptures

Distal biceps tendon rupture

  • Primary repair
  • Hamstring autograft reconstruction for chronic ruptures

Distal triceps tendon rupture

  • Primary repair
  • Reconstruction for chronic ruptures

Tennis elbow (lateral epicondylitis)

  • Arthroscopic release

Golfers elbow (medial epicondylitis)

  • Open release

Ulnar nerve neuritis/cubital tunnel syndrome

  • Ulnar nerve in situ neurolysis (decompression)
  • Ulnar nerve transposition

Fractures

Distal humerus fracture

  • Fracture reconstruction – open reduction and internal fixation
  • Distal humerus hemiarthroplasty/replacement
  • Total elbow replacement

Complex elbow fracture dislocation

  • Fracture reconstruction – open reduction and internal fixation
  • Ligament repair or reconstruction
  • Radial head replacement
  • Total elbow replacement

Radial head fracture

  • Fracture reconstruction – open reduction and internal fixation
  • Radial head replacement

Olecranon fracture

  • Fracture reconstruction – open reduction and internal fixation