Treatment of armwrestling injuries: surgical treatment 09:00 02/27/2014 Unfortunately, some injuries require surgical intervention. Not what you were looking for? Search for other text. The most common is the spiral break of radial bone, suffered mostly by fighters with bad technique, who put themselves in dangerous positions. A break like that requires repositioning and internal connection with metal plates and bolts, which facilitate the return to natural bone shape. This procedure will leave a substantial scar. It can be avoided by applying the Kirchner procedure – wires entered through very small incisions in the radial epicondylus area. In elbow joint sprains, surgery is used only when side ligaments are damaged and joint is destabilized, or when elbow protuberance is broken / vessels or nerves are damaged. Another injury that requires surgery is damage to bicep. When long head is damaged, its tendons are sewn under tension into a surgically made hole in the radial bone core.