I've worked with some big strong climbers that could one hand some big limbs... none of them would have tried to one hand the above limb...
I got my second bucket maybe 10 years ago. I was cutting and chucking my max on a regular basis... both elbows got bursitis, which was just a puffy pocket of fluid and pain and weakness. it got to the point I had to use a 192, because I couldn't one hand a 200t. No medical intervention. they cleared up and never had a problem since. I had to adjust my game though to stop one handing altogether for a couple months. then when they healed up, I just take smaller pieces when I one hand. Its just common sense. if you;re going to one hand big pieces all day every day, that's going to take its toll on the body...