Abstract
1. A method of denervating the elbow joint, based upon observations on the articular branches of the main nerve trunks, is presented.
2. In a small group of cases with post-traumatic arthritis and osteoarthritis, relief of pain and restoration of painless movement has been gained.
3. There was recurrence of pain after six months in one patient with acute rheumatoid arthritis; in such cases denervation is not recommended until further study is completed.
4. Denervation must be as complete as possible and full exposure with stripping of nerve trunks is recommended. There have been no complications.
5. The results in this small series of cases are encouraging, but patients should be warned that there will be no significant increase in the range of movement, and that a normal joint is not to be expected.
6. Articular neurectomy is still on trial. If the limitations are recognised, the procedure may have a useful place in the relief of pain in the elbow joint.
