Throwing Injury Surgery


If the patient does not respond to conservative treatment, surgery is considered when:

  • Large tears in the tendon or other extreme damage to the elbow is the result of a sudden (acute) injury.

  • The injury is the direct result of chronic overuse, and after six to twelve months of rehabilitation and tendon rest hasn’t relieved elbow pain.

  • Elbow pain continues despite other treatments, such as acupuncture or corticosteroid shots.

  • Loss of internal rotation of the shoulder has not responded to stretching exercises

  • Shoulder pain has not responded to stretching and strengthening exercises, rest, or injections of cortisone

  • MRI reveals labral or rotator cuff tears

The type of surgery performed depends on the pathology. However, commonly performed procedures in the throwing elbow include medial collateral ligament reconstruction (Tommy John procedure) and arthroscopic debridement. Commonly performed shoulder procedures include arthroscopic posterior capsular contracture release, labral repair, and rotator cuff repair.

  • Biceps Tendon Rupture
  • Bursitis
  • Coronoid Fracture
  • Distal Humerous Fracture
  • Elbow Arthritis
  • Elbow Dislocation
  • Elbow Epicondylitis
  • Elbow Fractures in Children
  • Forearm Fractures
  • Golfer’s Elbow
  • Olecranon Fracture
  • Radial Head Fracture
  • Rheumatoid Arthritis of the Elbow
  • Stiffness of the Elbow
  • Tennis Elbow
  • Throwing Injury
  • Ulnar Collateral Ligament (UCL) Tear

  • Autograft (UCL) Tear
  • Biceps Tendon Rupture Surgery
  • Bursitis/Impingement Surgery
  • Coronoid Fracture Surgery
  • Closed Reduction (Elbow) Surgery
  • Distal Radial Fracture Surgery
  • Elbow Arthritis Surgery
  • Elbow Arthroplasty Surgery
  • Elbow Arthroscopy Surgery
  • Elbow Epicondylitis Surgery/Tenex FAST Procedure
  • Elbow Fracture Surgery
  • Elbow Replacement Surgery
  • Olecranon Fracture Surgery
  • Radial Head Fracture Surgery
  • Tennis Elbow – Tenex FAST Surgery
  • Throwing Injury Surgery

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Elbow conditions and injuries.


Complete recovery of surgery varies with each patient and with the pathology encountered. Most individuals are capable of returning to their daily routine within a period of approximately three to six weeks. It is important to warn the patient that the initial relief from arm pain does not allow them to engage in heavy activity or sports for at least four or more months.

Return to throwing competition can require 12-15 months. Tendons take a long time to heal completely. Subjecting the tendons to strong forces may cause significant delay in healing or cause permanent damage, or cause significant damage.

Treatment Highlights

Tenex FAST Procedure

Tenex FAST Procedure

Tenex FAST procedure is an innovative procedure utilized by Dr. Paul Abeyta to address Tennis Elbow – Elbow Epicondylitis injuries and accelerate the treatment options available to patients.

Procedure Advantages:

  • Removes damaged tissue through a microincision and stimulates healing response. Uses gentle ultrasonic technology

  • Involves no general anesthesia or stitches. Local anesthetic (numbing medicine) only. Twenty minutes or less to perform. No need for physical therapy or additional treatments. Your individual results may vary.

  • Full return to normal activity in 6 weeks or less. Your individual results may vary.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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