Elbow Arthroscopy: The Basics

Indications, Results and Complications of Elbow Arthroscopy Treatment in Eighteen Patients

“…At the outset, the indications of elbow arthroscopy were limited and included patients, who complained of pain and loss of function or limited range of motion, and at the same time, clinical examination and X-ray findings were normal. Gradually, diagnosis and treatment of intra-articular pathologies (diagnostic arthroscopy), picking up of free objects, removal of osteophyte, synovial biopsy, synovectomy, separation of adhesions, and osteochondritis dissecans lesions were indications of elbow arthroscopy (7,8). With further progress of this technique, its indications were also increased and intra-articular complex problems, such as elbow arthritis and contracture, extra-articular pathologies, such as biceps tendon disorders and lateral epicondylitis, and treatment of fractures were developed.…”

“…Results of this method are almost entirely dependent on the high expertise and exact use of modern arthroscopic techniques and equipment, hence, long term learning period is considered for this diagnostic-therapeutic method (5,7). Although available evidence is more in favor of the usefulness of this therapeutic method in elbow diseases, there is no sufficient evidence for preference and usefulness of this therapeutic method in elbow diseases, as suggested by a number of review studies (16).…”

An Anatomic Evaluation of Arthroscopic Access to the Radial Head

“…Commonly used portals to the elbow include the proximal anteromedial, proximal anterolateral, proximal posterolateral, and soft spot portals 11, 12 . Several cadaveric studies have outlined the anatomical relationships of nerves and vasculature in the elbow to determine the safety of the arthroscopic approach through these portals, particularly with necessary intraoperative movement of the joint 13–17 .…”

“…Several cadaveric studies have outlined the anatomical relationships of nerves and vasculature in the elbow to determine the safety of the arthroscopic approach through these portals, particularly with necessary intraoperative movement of the joint 13–17 . Advances in surgical technique and anatomical understanding have thus allowed for safer, more standardized use of elbow arthroscopy, and its use in radial fracture management is continually evolving 12, 18–20 .…”

Arthroscopie du coude : une alternative aux voies d’abord antéromédiales

“…[2][3][4]. Les voies d'abord les plus utilisées sont les voies antérolatérale proximale, antérolatérale standard, antéromédiale proximale, antéromédiale standard, postérolatérale inférieure « soft point » et postérolatérale supérieure [5,6]. Le taux des complications vasculonerveuses est plus élevé dans l'arthroscopie du coude que dans les arthroscopies des autres articulations, en raison de la proximité des structures vasculonerveuses [7].…”