When does one need surgery? | Torn capsule at the elbow – How it is treated

When does one need surgery?

As a rule, surgery is not necessary in the case of a ruptured capsule of the elbow. However, if particularly severe injuries to the capsule and involvement of the bone occur, surgery should be performed. Since the capsule is firmly anchored to the bone, strong tensile stress on the capsule structures can cause minor fractures of the protrusions of the humerus and forearm bones. These can result in instability of the joint and the musculature, so that the bone must be treated and fixed surgically. In the case of particularly severe injuries to the capsule, surgical therapy can provide advantages for the duration of healing.

Duration of incapacity to work

Incapacity for work can be issued by the doctor depending on the individual case. The extent of the injury and the symptoms must be taken into account. Usually the incapacity to work is initially issued for 1-2 weeks.

During this period, most symptoms subside. If the symptoms persist, the incapacity to work can be extended up to 6 weeks. Office work can usually be started earlier than physical work. It is important that when work is resumed, there are no restrictions and pain and that the activity does not delay the further healing process.

Duration of healing in case of a ruptured capsule at the elbow

The duration of healing can vary greatly and depends on the extent of the injury.A capsule tear can be limited to a small tear of a few millimeters or include severe capsule damage and bony involvement. Minimal capsule tears can be almost painless or heal within a few days. However, a pronounced tear of the joint capsule can take several weeks to heal and can also cause pain and restrictions in joint function.

Serious injuries can take up to 8 weeks to heal. Surgical therapy may shorten the healing time in cases of severe injuries. In any case, the duration is shortened by consistent physiotherapy.