Puget Sound Orthopaedics (PSO) elbow experts offer the most current treatment options for bone- and joint-related elbow injuries, which may or may not include surgery. When surgery is necessary, PSO surgeons use state-of-the-art surgical techniques and new implant technology that can provide significant reduction in pain, restored functional ability and an improvement in their patients’ quality of life.

Elbow Doctors


Your elbow is a joint that bends and straightens like a hinge. It also performs an important function in the rotation of the forearm, providing the ability to turn your palm up (much like holding out your hand to accept money) and down (in the instance of patting the head of your pet or typing on a keyboard).

The elbow is made up of three (3) bones: the humerus (upper arm bone), radius and ulna (located in the lower arm between the wrist and elbow). Together, the bones, ligaments, tendons and muscles create a bony architecture that holds the arm together.

Have you ever hit the bony point of your elbow and felt a sharp electrical pain, tingling and numbing sensation? That’s your olecranon or funny bone which is located at the end of the ulna. You’re actually hitting the ulnar nerve that crosses the medial (inner) part of the elbow joint. The olecranon bursa also contains a thin, slippery sac of lubricating fluid that aids movement in the joint.


An injury to the elbow is painful and limits the affected arm’s movement in everyday activities such as mowing the lawn, driving a car or carrying a child or bags of groceries. Falling on an oustretched arm can result in fracturing the radial head or olecranon. A distal humerus fracture (in the lower end of the upper humerus bone that connects to the elbow) often results in several broken pieces, referred to as a comminuted fracture.

Overuse injuries of the elbow typically afflict athletes who repeatedly throw a ball or other sports apparatus. This injury gradually worsens over time. Overthrowing injuries affect the tendons (flexor tendinitis) and ligaments (UCL injury) of the elbow. Stress fractures, which are tiny cracks located in the bone, can also occur when muscles around the elbow are not able to absorb the shock of repetitive use.

Although uncommon, adult elbow dislocations usually occur when falling on an outstretched hand or in a car accident when bracing for impact. However, partial dislocations, referred to as nursemaid’s elbow, are more common in children.


Tennis elbow – an inflammation of the tendons, caused by overuse, that join the forearm muscles on the outside of the elbow

Elbow bursitis – when the bursa becomes irritated or inflamed causing it to fill with excess fluid

Cubital tunnel syndrome – when the ulnar nerve becomes compressed, most commonly behind the inside part of the elbow


Seek treatment if you are experiencing any of the following elbow symptoms:

  • Swelling
  • Bruising
  • Tenderness to the touch
  • Stiffness
  • A feeling of instability in the joint, as if your elbow is going to “pop out”


Your doctor will discuss all treatment options with you. The best treatment for your injury or condition will be determined in combination with your overall health.

There are several nonoperative treatment options for elbow pain. These might include immobilizing the afflicted elbow by applying a cast or using a sling, physical therapy or pain management in the form of over-the-counter or prescribed medications and/or anti-inflammatories. If surgery is necessary, PSO elbow specialists can perform a wide variety of procedures ranging from minimally invasive to major reconstruction.

Patient Education

Elbow Bursitis

Elbow bursitis is caused by irritated and inflamed bursae in between the bones and soft tissues of the elbow. Bursae are small sacs filled with fluid that aid in the smooth movements of bones and tissues against one another. When irritated or inflamed the sacs fill with more fluid than normal and this creates pain […]

Tennis Elbow

Tennis elbow is the condition when overuse of the elbow has led to an injury of the muscles and tendons. Extended periods of repetitive use damage the muscles and tendons that work the elbow joint and without enough time to repair can weaken these tissues over time. The usual symptoms of tennis elbow are pain […]

Elbow Locations