Arthroscopic Removal of Loose Bodies (Elbow)
Minimally Invasive Elbow Surgery to Restore Function and Comfort
Loose bodies in the elbow joint are small fragments of bone or cartilage that have broken off and float within the joint. This can can lead to pain, stiffness, catching, or joint locking and when these symptoms interfere with daily function or physical activity, surgical removal may be recommended.
Dr Ben McGrath offers arthroscopic removal of loose bodies as part of his elbow surgery expertise. This minimally invasive procedure is designed to relieve mechanical symptoms, protect joint health, and restore comfortable, functional movement of the elbow.
Why Do Loose Bodies Develop in the Elbow?
Loose bodies typically form when there is damage to the cartilage or bone inside the elbow joint. This damage may result from:
Elbow osteoarthritis – where cartilage gradually wears away and fragments may break off.
Post-traumatic injury – such as fractures or dislocations that leave residual debris in the joint.
Osteochondritis dissecans (OCD) – often seen in younger, active individuals, where a small section of bone and cartilage separates from the joint surface.
Synovial chondromatosis – a rare condition where the joint lining produces nodules of cartilage that can break free.
Repetitive overuse or high-demand activity – such as throwing sports or manual labour that place stress on the joint over time.
These fragments can become lodged between the moving parts of the elbow, causing sharp pain, loss of motion, or even a sensation of the joint “catching” or locking during movement.
When Elbow Surgery May Be Recommended
Surgical removal of loose bodies may be appropriate if you are experiencing:
Persistent pain in the elbow joint
Clicking, catching, or locking with movement
Reduced range of motion or joint stiffness
Symptoms that do not improve with rest, physiotherapy, or medications
Risk of long-term joint damage if left untreated
Dr McGrath will assess your condition and imaging to determine whether surgery is the best option for your needs.
About the Procedure: Arthroscopic Removal
Arthroscopic surgery uses small incisions and a camera (arthroscope) to view the inside of your elbow joint.
During the procedure:
- A tiny camera is inserted through one incision to provide a detailed view of the joint.
- Specialised instruments are introduced through additional small incisions.
- Loose bodies are carefully identified and removed.
- Any other contributing issues, such as inflamed tissue or cartilage roughness, can also be addressed during the same procedure.
This technique allows for precise removal while preserving healthy joint structures and reducing trauma to the surrounding tissues.
Potential Benefits of Arthroscopic Elbow Surgery
Minimally invasive (keyhole incisions)
Shorter recovery times than traditional open surgery
Reduced post-operative pain and swelling
Faster return to activity or work
Protection of long-term joint health
This procedure is typically performed as day surgery, meaning you can return home the same day.
Recovering from arthroscopic elbow surgery
Recovery from arthroscopic elbow surgery is generally well tolerated. You may experience some temporary swelling or discomfort, which can be managed with medication and gentle movement.
Post-operative care includes:
A short period of rest and sling use (if needed for comfort)
Gradual reintroduction of movement and stretching exercises
Physiotherapy to restore range of motion and strength
Return to normal activities within 4–6 weeks, depending on the type of work or sport you do
Dr McGrath will provide a personalised recovery plan based on your procedure, lifestyle, and goals.
Rehabilitation and Recovery
A structured rehabilitation program is critical to restoring shoulder function.
Phase 1: Early Recovery (Weeks 0–6)
- Focus: Pain control and gentle range-of-motion exercises.
- Physiotherapy begins shortly after surgery to maintain flexibility.
Phase 2: Intermediate Recovery (Weeks 6–12)
- Focus: Gradual strengthening of shoulder muscles and improving mobility.
- Exercises become more intensive under the guidance of a physiotherapist.
Phase 3: Advanced Recovery (Months 3–6)
- Focus: Restoring full function and resuming normal activities.
- Low-impact activities such as swimming or light gym exercises are introduced.
Long-Term Outcomes
Capsular release surgery is often effective in relieving pain and restoring shoulder mobility, though outcomes can vary based on the severity of the condition and adherence to post-operative care.
Expected Improvements:
- Reduction in pain and stiffness.
- Improved shoulder movement and strength.
- Enhanced ability to perform daily activities and return to an active lifestyle.
Regular follow-up appointments with Dr McGrath ensure ongoing progress and address any concerns during recovery.