State of the Art: Elbow Arthroscopy: Review of the Literature and Application for Osteochondritis Dissecans of the Capitellum

Matsuura, Tetsuya; Egawa, Hiroshi; Takahashi, Mitsuhiko; Higashino, Kosaku; Sakai, Toshinori; Suzue, Naoto; Hamada, Daisuke; Goto, Tomohiro; Takata, Yoichiro; Nishisho, Toshihiko; Goda, Yuichiro; Sato, Ryosuke; Tonogai, Ichiro; Kondo, Kenji; Tezuka, Fumiaki; Mineta, Kazuaki; Sugiura, Kosuke; Takeuchi, Makoto; Sairyo, Koichi

doi:10.2152/jmi.61.233

Cited by 11 publications

(15 citation statements)

References 33 publications

(35 reference statements)

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“…1e4 The first reports in 1931 even described that elbow arthroscopy was an unsafe procedure for those reasons. 2,4,5 However, increased knowledge of the anatomy of the elbow joint and tremendous advances in technology and surgical technique throughout the past decades, have made it a safe and effective treatment modality for various elbow disorders. 2e4,6e8 Currently, elbow arthroscopy is being performed more frequently and for an increasing range of elbow pathologies.…”

Section: Introductionmentioning

confidence: 99%

“…1,2,5e7,9,10 Compared to open elbow surgery, advantages of arthroscopy are: less scarring, decreased risk of infection, reduced postoperative pain and swelling, faster return to work and sports and improved visualization of the elbow joint. 1,3,4,10 Nevertheless complications may still occur, due to the technical demands of the procedure. 1e10 Therefore a detailed patient history, physical examination and additional imaging studies are necessary for best possible outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…1e10 Therefore a detailed patient history, physical examination and additional imaging studies are necessary for best possible outcomes. 1,2,4,5 2. Indications…”

Section: Introductionmentioning

confidence: 99%

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Elbow arthroscopy - Indications and technique

Eygendaal²

2021

Journal of Clinical Orthopaedics and Trauma

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Throughout the years, elbow arthroscopy has advanced tremendously due to improvements in technology and surgical techniques. It is now considered a safe and effective treatment for a variety of elbow disorders. Due to the small working space and nearby neurovascular structures, it is a technically challenging procedure. It can be used to successfully treat complaints caused by loose bodies, osteoarthritis, arthrofibrosis, OCD, lateral epicondylitis, VEOS and fractures. The most devastating complication of elbow arthroscopy is (permanent) nerve injury. Therefore, distortion of the anatomy of the elbow joint and transposition of the ulnar nerve can be a contra-indication for elbow arthroscopy due to the higher risk of postoperative complications. The results of the arthroscopy depend on the experience, knowledge, technique and expertise of the performing surgeon.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Elbow arthroscopy - Indications and technique

Eygendaal²

2021

Journal of Clinical Orthopaedics and Trauma

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show abstract

Section: Introductionmentioning

confidence: 99%

“…1 In addition, arthroscopy can be utilized in the diagnosis and assessment of the severity of many elbow conditions and in the operative treatment of posterolateral rotatory instability, posteromedial impingement, and plica in the elbow joint, fractures of the capitellum, coronoid and radial head, and lateral epicondylitis. 2,3 Previous studies have suggested that arthroscopic debridement may be an effective treatment for elbow osteoarthrosis if nonoperative treatment fails. However, according to Yeoh et al, there is still a lack of evidence to support the use of elbow arthroscopy in the treatment of primary osteoarthrosis.…”

Section: Introductionmentioning

confidence: 99%

Pain, function, and patient satisfaction after arthroscopic treatment of elbow in a retrospective series with minimum of 5-year follow-up

Karelson

Launonen

Jokihaara

et al. 2019

J Orthop Surg (Hong Kong)

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Background: The clinical indications for elbow arthroscopic procedures have expanded through last decades. The aim of the study was to assess the functional results and patient satisfaction after arthroscopic treatment of various elbow conditions after a minimum 5-year follow-up. Methods: We conducted a retrospective study of a consecutive patient cohort who had undergone unilateral elbow arthroscopy between 2008 and 2010. The main outcomes were Disabilities of the Arm, Shoulder and Hand (DASH) score and a specific patient-reported outcome measure questionnaire after a minimum 5-year follow-up. Results: In total, there were 93 patients in the cohort with different diagnoses. Majority of patients were suffering from elbow osteoarthrosis. After the average follow-up of 72 months (range 60–96 months), the response rate was 67%. Eighty two percent of patients were satisfied with the pain relief and locking of the elbow was relieved in 70% of patients. Elbow range of motion (ROM) improved in 80% of the 55 patients who had a limited ROM before the operation. The overall patient satisfaction after elbow arthroscopic treatment was good. There were no differences in median DASH score between patients with or without post-traumatic condition, but the median DASH score for patients who had severe (grade 3) osteoarthrosis before the operation was significantly worse. There were no major complications reported in this cohort. Conclusions: Arthroscopic treatment of various elbow conditions was associated with good patient satisfaction and reduced symptoms without major complications. Level of Evidence: Level IV, therapeutic case series.

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Toward Bionic Arthroscopy: A Comprehensive Perspective of Continuum Robotics Principles and Prototypes for the Inception of Arthroscopic Surgery Robots

Huang,

Shi,

Gao

et al. 2023

Advanced Intelligent Systems

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In this study, an innovative exploration of leveraging bionics and continuum robotics principles to develop a novel solution for arthroscopic surgery is embarked on. Inspired by the flexibility and adaptability of organisms like snakes and octopuses, the continuum robot concept aims to address the inherent challenges in traditional arthroscopy, including lower precision, manual tremors, and long surgeon learning curves. The implementation of these principles in the human body, however, faces significant obstacles, particularly achieving high‐performance motion control amid strong nonlinearity and coupling between modules. This research focuses on intelligent integration and enhanced safety in human‐machine interaction, aiming for improved control precision and flexibility in arthroscopic procedures. A thorough literature review of endoscopic continuum robots is conducted, highlighting current advancements in actuation, structure, sensing, and control technologies. The study concludes with an assessment of these technologies, their limitations, and future potential, in light of the unique demands of arthroscopic continuum robots. This comprehensive review bridges bionics and robotics, presenting the opportunities and challenges in applying continuum robotics to arthroscopic surgery. The goal is to encourage further research in this area, contributing to the development of prototype robots that enhance the precision and safety of arthroscopic surgery.

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State of the Art: Elbow Arthroscopy: Review of the Literature and Application for Osteochondritis Dissecans of the Capitellum

Cited by 11 publications

References 33 publications

Elbow arthroscopy - Indications and technique

Elbow arthroscopy - Indications and technique

Pain, function, and patient satisfaction after arthroscopic treatment of elbow in a retrospective series with minimum of 5-year follow-up

Toward Bionic Arthroscopy: A Comprehensive Perspective of Continuum Robotics Principles and Prototypes for the Inception of Arthroscopic Surgery Robots

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