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Introduction:In the last years the elbow arthroscopy reports have increased. It is very important to perform meticulous portals technique, appropriate selection thereof, and precise diseases treatments. The surgical technique has been described in different decubitus (dorsal, lateral and ventral). According to F. Savoie and L. Field, we believe that the prone position allows anterior and posterior access simultaneously, comprising the entire joint. The aim of the study is to describe our experience in the prone position in the last 10 years, analyzing indications, patient satisfaction and complications.Material and Methods:We retrospectively analyzed case series of surgeries in the last 10 years. We performed 31 elbow arthroscopies, 24 men and 7 women, the most common sport was rugby followed tennis.Results:The most common pathology was anterior and posterior post-traumatic joint stiffness (12 cases), 7 epicondylitis with joint involvement, 7 articular fractures, five loose bodies with osteochondral lesions. One year after surgery, 95% of patients were satisfied with the outcome. Complications, transient palsy in 2 patients, which recovered ad integrum, due to compression secondary to high cuff tire pressure.Conclusion:We believe the prone position elbow arthroscopy technique is ideal for solving most of the surgical indications. Although the high potential of complications ought to important structures proximity, a profound anatomical knowledge and skill arthroscopic make it a safe and reproducible technique.

Introduction: Given the infrequency and lack of consensus in the treatment of children and adolescents with these injuries, we decided to write this report with the aim of present a case of PCL tibial avulsion in a contact athlete teen with open physis and a review of the literature published. Materials and Methods: RF.male, 13 years, rugby, suffers French tackle and fall on knees flexed. 3 months posttrauma consultation with left knee pain, joint fluid and sport limitation. Whidout instability but "not feeling well". The posterior drawer test + + / ++++, gravitational test +. Rx posterior drawer: 8mm difference between the two nenes. MRI: tibial avulsion PCL. We interpreted as symptomatic PCL injury in athletes, surgery (arthroscopy + posterior approach) is decided reintegration of chondral fragment in 1 time P.OP: no load 4 Weeks . plaster wedge extension 6 weeks, then 3 months and passive immobilizer progressive mobility. Results: 0-90 mobility achieving in 8th week. The 3rd month drawer rx 4mm. MRI posterior translation of the 4th month reintegration of LCP with anchor . 6ª month later minimally elongated drawer with stop net. 11th month continuous strengthening recrearional and sports activities. Discussion and Conclusion: Most avulsion of PCL in patients with open physis probably be for greater strength and endurance ligament compared with the phisis and bone at this age. We suspected in patients with vague knee pain, with or without instability, history of trauma and normal Rx a correct examination and MRI to be essential for diagnosis. We beleave that athletes with open physis, because of the risk of joint degeneration, surgery is justified to restore kinematics, prevent osteoarthritis and resume activity prior to the injury.