Arthroscopic Management of Elbow Osteoarthritis

Kroonen, Leo T.; Piper, Samantha L.; Ghatan, Andrew C.

doi:10.1016/j.jhsa.2017.05.023

Cited by 25 publications

(12 citation statements)

References 31 publications

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“…18 Also osteochondritis dissecans or synovial osteochondromatosis increase the risk for osteoarthrosis. 19 In our study, most of the patients who were treated with arthroscopic procedures had some cartilage damage identified both radiologically and during the arthroscopic evaluation. Chondral or osteochondral lesions, post-traumatic contracture, and loose bodies of the elbow are often associated with chronic pain, stiffness, and joint blockages.…”

Section: Discussionmentioning

confidence: 62%

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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Section: Discussionmentioning

confidence: 62%

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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“…7 Occupations or avocations involving repetitive use of the upper extremity are the most common risk factors identified, being present in about 60% of the patients. 10 Common conditions associated with a higher prevalence of primary elbow OA include manual laborers, weightlifters, throwing athletes, and wheelchair-dependent individuals.…”

Section: Primary Elbow Oa: How Common Is It? Risk Factorsmentioning

confidence: 99%

Primary Elbow Osteoarthritis: Evaluation and Management

Martínez-Catalán

Sánchez-Sotelo

2021

Journal of Clinical Orthopaedics and Trauma

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Most patients with primary osteoarthritis of the elbow report a history of heavy lifting with the affected upper extremity . Conservative treatment, including activity modifications, nonsteroidal anti-inflammatory drugs and the occasional intraarticular corticosteroid injection, may provide adequate pain relief in earlier stages . When surgery is required, and despite the presence of cartilage wear, many patients with primary elbow osteoarthritis experience substantial pain improvement with joint preserving procedures . The ulnar nerve needs to be carefully assessed and addressed at the time of surgery . Although open debridement procedures are effective, arthroscopic osteocapsular arthroplasty has emerged as the surgical procedure of choice . Total elbow arthroplasty is very successful in terms of pain relief and function, but it is reserved for patients with end-stage osteoarthritis who are relatively older and have failed joint preserving procedures.

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“…[19] Similar results have been reported by others. [20][21][22] Pre-operative arc of motion is perhaps the main preoperative factor affecting the outcome of arthroscopic debridement for OA. A pre-operative motion arc of 80° or more is recommended.…”

Section: Primary Osteoarthritismentioning

confidence: 99%

Advances and future trends in elbow arthroscopy

Robinson¹

2020

JASSM

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Elbow arthroscopy has evolved since its inception and is now a commonly used technique in the diagnosis and treatment of elbow pathology. It has many indications, from the removal of intra-articular loose bodies to the management of elbow osteoarthritis and fractures. In this paper, we will discuss the full spectrum of elbow arthroscopy covering recent evidence, surgical techniques, advances, and future trends.

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Arthroscopic Management of Elbow Osteoarthritis

Cited by 25 publications

References 31 publications

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

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

Primary Elbow Osteoarthritis: Evaluation and Management

Advances and future trends in elbow arthroscopy

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