Elbow Arthroscopy

Adams, Julie E.; King, Graham J.W.; Steinmann, Scott P.; Cohen, Mark S.

doi:10.5435/jaaos-22-12-810

Cited by 57 publications

(20 citation statements)

References 45 publications

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“…In the study of Marti et al, osteoarthritis, stiffness, and foreign body of elbow joint were the most common indications of elbow arthroscopy (8). Also, Adams et al reported that the most common indications of elbow arthroscopy were debridement of septic arthritis, synovectomy in elbow inflammation, osteoarthritis debridement, and treatment of osteochondral defects (13).…”

Section: Discussionmentioning

confidence: 99%

“…Also, Adams et al expressed that arthroscopy is an appropriate procedure for treatment of inflammatory arthritis, osteoarthritis, and lateral epicondylitis (13).…”

Section: Discussionmentioning

confidence: 99%

“…This evaluation and the therapeutic method in the elbow provides the opportunity for the surgeon to review intra-articular structures clearly, produces lower postoperative pain, reduces the infection rate, and leaves a much smaller scar in comparison to open surgery (11,12). Review of the literature shows that the overall complication rate of elbow arthroscopy is about 6% to 15%, approximately half of which would constitute neurological injuries (5,8,13,14). Infections and injuries to the nearby nerves of elbow joint are the most common complications of this technique (14,15).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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Section: Discussionmentioning

confidence: 99%

“…Also, Adams et al expressed that arthroscopy is an appropriate procedure for treatment of inflammatory arthritis, osteoarthritis, and lateral epicondylitis (13).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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“…Other complications could be the presence of fistulae or the necessity of persistent drainage and neurovascular damage. The latter is quite difficult to avoid and commonly involves the ulnar nerve, followed by the superficial radial nerve, posterior interosseous nerve, anterior interosseous nerve, and medial antebrachial cutaneous nerve [53]. Interpositional arthroplasty represents an alternative to total elbow arthroplasty (TEA) in young adults [54].…”

Section: Surgical Treatmentmentioning

confidence: 99%

An Overview of the Pathogenesis and Treatment of Elbow Osteoarthritis

Ravalli

Pulici

Binetti

et al. 2019

JFMK

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The elbow joint could be associated with degenerative processes of primary and post-traumatic aetiology. Among these, osteoarthritis may also be secondary to repeated use as well as trauma. Pain, discomfort and progressive loss of functionality are common signs of this condition. The evaluation of elbow osteoarthritis should comprise an in-depth study to detect the primary cause of the illness and to facilitate the decision-making process regarding personalized treatment. Discordance between clinical manifestations and radiological findings is common. Conservative approaches may provide symptomatic relief in the early stages of disease for most patients. The goal of the treatment is to reduce pain and ensure an adequate range of motion and proper functioning of the joint while preserving the anatomical structure, to postpone elbow arthroplasty interventions for as long as possible. According to treatment guidelines, surgery should be considered depending on aetiology and severity, patient age, and functional demands. This narrative review aims to investigate the current literature regarding the pathogenesis and treatment of primary and post-traumatic arthritis of the elbow.

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“…1,2,28 Prior literature suggests that greater than 75% of the capitellum can be accessed through a dual lateral approach. 13 However, no studies have compared the accessibility of the capitellum from other popular posterior portals such as the posterolateral and distal ulnar portals.…”

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confidence: 99%

Visualization of the Capitellum During Elbow Arthroscopy: A Comparison of 3 Portal Techniques

Trofa

Gancarczyk

Lombardi

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Capitellar osteochondritis dissecans (OCD) is a debilitating condition of unknown etiology for which various arthroscopic treatments are available. Prior data suggest that greater than 75% of the capitellum can be visualized arthroscopically through a dual lateral portal approach. However, there is no literature assessing arthroscopic visualization of the capitellum via alternative portals.Purpose:To determine the percentage of capitellum visualized using the dual lateral, distal ulnar and soft spot, and posterolateral and soft spot portal configurations in a cadaver model.Study Design:Descriptive laboratory study.Methods:Arthroscopy was performed on 12 fresh-frozen cadaver elbows, 4 for each of the following approaches: dual lateral, distal ulna, and posterolateral. Electrocautery was used to mark the most anterior, posterior, medial, and lateral points seen on the capitellum. The radiocapitellar joint was subsequently exposed through an extensile posterior dissection, and the surface anatomy was reconstructed using the Microscribe 3D digitizing system. Using Rhinoceros software, the percentage of capitellum surface area visualized by each approach was determined.Results:The mean percentage of capitellum visualized for the dual lateral, distal ulna, and posterolateral approaches was approximately 68.8%, 66.3%, and 63.5%, respectively. There was no significant difference between the percentage of capitellum seen among approaches (P = .68). On average, 66.5% of the capitellum was visible through these 3 arthroscopic approaches to the elbow.Conclusion:Approximately 66.5% of the capitellum is visualized through the popularized posterior arthroscopic portals, with no significant differences found between the 3 investigated approaches.Clinical Relevance:As determined in this cadaveric model investigation, each portal technique provides equivalent visualization for capitellar OCD pathology.

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Elbow Arthroscopy

Cited by 57 publications

References 45 publications

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

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

An Overview of the Pathogenesis and Treatment of Elbow Osteoarthritis

Visualization of the Capitellum During Elbow Arthroscopy: A Comparison of 3 Portal Techniques

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