You may not be able to move your elbow normally after an injury
because of pain or swelling. Pain may occur when the limb or joint is used. You
may have limited range of motion because of swelling.
If a joint is unstable or you can't use your arm normally, the
supporting ligaments and tendons may have been injured or a bone may have been
fractured. Trying to move the joint may cause severe pain. A child will protect
or refuse to use his or her arm if it has been significantly injured.
If movement of an injured elbow causes pain, protect the elbow. You
may need to use a
splint or
sling.
A total inability to bend or move a joint can be caused by nerve
damage, a ruptured muscle, or a torn tendon. Loss of function that is not
caused by pain may indicate damage to muscles, tendons, ligaments, or nerves
and requires medical treatment.
Decreased movement may also be caused by
osteoarthritis,
elbow bursitis,
rheumatoid arthritis,
gout, or
lupus.
Severe decrease in movement (locking) occurs when something gets
caught in the hinge of the elbow joint and does not allow the arm to
straighten, bend, or rotate completely. This can be caused by:
- A free-floating piece of bone (from a fracture or
osteoarthritis),
cartilage, or foreign object in a joint (loose body).
A piece of bone from the upper arm (humerus) or the lower arm (ulna or radius)
may become caught in the elbow joint after an injury or from overuse of the
elbow and may lose its blood supply and break loose (osteochondritis
dissecans).
- A
dislocated elbow.
Be concerned if a young child carefully protects an injured elbow or
refuses to use his or her arm. The child may have a fracture, the lower forearm
bone (radius) may be out of place, or the child may have stretched ligaments
around the elbow (nursemaid's elbow). This typically occurs when a child is
jerked, lifted, or pulled by one arm. If you think that your child's injury may
have been caused by
abuse, tell your health professional.