Arthroscopic ulnohumeral arthroplasty for degenerative arthritis of the elbow in patients under fifty years of age

Open debridement and radiocapitellar replacement in primary and post-traumatic arthritis of the elbow: a multicenter study

“…13 Over time, other investigations confirmed these findings 7,12,15,23,25,27,28 and showed that lateral degenerative changes may become clinically evident in patients in their late 40s or early 50s and be responsible for disabling elbow pain resistant to conservative treatment and nonreplacement procedures. 1,10,22,31 Indeed, in cases of primary and post-traumatic osteoarthritis of the lateral compartment, surgical procedures including synovectomy or open or arthroscopic debridement, or both, are often associated with poor surgical outcomes. 9 However, total elbow arthroplasty (TEA) has limited indications in young patients with high functional demands and in those showing no or moderate changes in the medial compartment.…”

“…13 Further clinical studies have highlighted the prevalent involvement of the lateral compartment. 22,23,27 In particular, Rajeev and Pooley 27 reported that in a series of 117 patients complaining of lateral elbow pain unresponsive to conservative treatments, 60 showed arthritic changes limited to the radiohumeral joint. Furthermore, the articular surfaces of the lateral compartment appear to be more vulnerable to trauma, such as fractures of the radial head, fractures of the humeral capitellum, terrible triad injury, and Monteggialike lesion, which often cause post-traumatic degenerative changes of the radiocapitellar joint.…”

Arthroscopic Treatment of Elbow Osteoarthritis and Arthroscopic Ulnar Nerve Decompression

“…Kelly et al, 17) Krishnan et al, 19) and Adams et al 20) reported that there were improvements in the range of flexion from 111° to 132° (restrictions of the extension from 20° to 9°; mean age of 51 years old in 24 patients), from 60° to 122° (11 patients with a mean age of 36 years; a minimum follow-up period of 24 months), and from 117° to 132° (42 elbows, a mean age of 52 years old and a mean follow-up period of 44 months), respectively, following an arthroscopic debridement in patients with primary elbow osteoarthritis. Moreover, these authors also noted that there were also improvements in the severity of pain and the degree of patient satisfaction.…”

MRI–Arthroscopy Correlation of the Elbow: A Primer for Radiologists

“…Arthroscopic debridement and loose body removal may help improve range of motion in these patients [12,13].…”