Ellenbogenarthroskopie

Vester, Helen; Siebenlist, Sebastian; Imhoff, Andreas B.; Lenich, Andreas

doi:10.1007/s00132-014-3027-2

Cited by 8 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Artroskopie lokte umožňuje diagnostikovat patologicky změněnou RH pliku, verifikovat nepřímé známky nestabilit, léze kloubních chrupavek, nitrokloubní tělíska, zjistit případnou rupturu kloubního pouzdra. Zároveň umožní dynamicky vyšetřit stabilitu kloubu (25). Proto má v rámci diferenciální diagnostiky laterálního bolestivého syndromu lokte artroskopická vizualizace nenahraditelnou úlohu jak v diagnostice, tak v některých případech i léčbě.…”

Section: úVodunclassified

Benefit of Arthroscopy in Differential Diagnostics and Therapy of Lateral Epicondylitis

Křiváček¹,

Vodička²,

Krejčí³

et al. 2023

ACHOT

View full text Add to dashboard Cite

PURPOSE OF THE STUDYThe aim of this study is to confirm that the involvement of arthroscopy in the surgical treatment of painful elbow syndrome, when proper and long enough conservative treatment failed, has better results than open radial epicondylitis surgery alone. MATERIAL AND METHODSA total of 144 patients included 65 men and 79 women, with the mean age of 45.3 years, namely 44.4 years (range 18-61 years) in men and 45.8 years (range 18-60 years) in women. Each patient was clinically examined, an anteroposterior and lateral X-ray of the elbow were performed, and proper therapy was chosen -either primary diagnostic and therapeutic arthroscopy followed by open epicondylitis surgery or primary open epicondylitis surgery alone. The treatment effect was evaluated by using the QuickDASH (Disabilities of the Arm, Shoulder and Hand) scoring system at 6 months after surgery. RESULTSOut of the total group of 144 patients, 114 (79%) patients completed the questionnaire. All the results of the QuickDASH score in our group of patients are in the better half (0-5 very good, 6-15 good, 16-35 satisfactory, over 35 poor), with the mean value 5.63 (in men the mean value was 2.95-2.27 for the combination of arthroscopic and open procedure of LE, 4.55 for open procedure of LE, while in women the mean value was 7.50-6.82 for the combination of arthroscopic and open procedure of LE, 9.09 for open procedure of LE only). Altogether 96 patients (72%) experienced full pain relief. In patients treated with a combination of arthroscopic and open surgery, a higher percentage of patients reported full relief (53 patients, 85%) compared to the patients treated with the open method alone (21 patients, 62%). DISCUSSIONBy involving arthroscopy in the surgical treatment of patients with lateral elbow pain syndrome after unsuccessful conservative treatment, a successful and early solution to the problem was achieved in 72% of patients. The advantage of elbow arthroscopy over the conventional approach to the treatment of lateral epicondylitis consists mainly in the opportunity to observe intraarticular structures, thus provide a detailed view of the entire joint without the need for direct extensive joint opening, which makes it possible to exclude other causes of problems (e. g. chondromalacia of the radial head, loose body and other intraarticular abnormalities). At the same time, we can treat this source of problems with minimum burden placed on the patient. CONCLUSIONSArthroscopic examination of the elbow joint makes it possible to diagnose all potential intraarticular sources of difficulties. Simultaneous elbow arthroscopy and open treatment of radial epicondylitis (release of ECRB or EDC, ECU, necrotic tissue excision, deperiostation and radial epicondyle microfractures) is a safe method with low morbidity, faster rehabilitation and return to the original activities based on subjective evaluation of patients and objective scoring.

show abstract

Section: úVodunclassified

Benefit of Arthroscopy in Differential Diagnostics and Therapy of Lateral Epicondylitis

Křiváček¹,

Vodička²,

Krejčí³

et al. 2023

ACHOT

View full text Add to dashboard Cite

show abstract

“…Among these injuries, rotational block of motion, radial head fragments scattered into the posterior compartment, osteochondral lesions to the postero-lateral capitellum and postero-lateral instability may be underdiagnosed. In this context, elbow arthroscopy may represent a useful diagnostic tool complementing radiological findings and simultaneously allowing for minimally invasive treatment of the identified injuries [13, 14].…”

Section: Introductionmentioning

confidence: 99%

“…Elbow arthroscopy dramatically evolved within the last decades and became an integral part of diagnosing and an important assisting tool in treatment of a large variety of elbow injuries [13–19]. However, only a few case series reported on arthroscopically treated radial head fractures, such as screw osteosynthesis of Type II fractures or head resection after Type III fractures [20–22].…”

Section: Introductionmentioning

confidence: 99%

The value of elbow arthroscopy in diagnosing and treatment of radial head fractures

Haasters

Helfen

Böcker

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Surgical treatment of radial head fractures is increasingly performed arthroscopically. These fractures often feature concomitant injuries to the elbow joint, which may be under-diagnosed in the radiological examinations. Little is known about the diagnostic value of arthroscopy, the treatment options that arise from arthroscopically assisted fracture fixation and clinical results. We hypothesized that arthroscopy can detect additional concomitant injuries and simultaneously expands the therapeutic options. Therefore aim of this study was to compare arthroscopic and radiologic findings, to assess the distinct arthroscopic procedures and to follow up on the clinical outcomes. Methods Twenty patients with radial head fractures were retrospectively included in two study centers. All patients underwent elbow arthroscopy due to at least one of the following suspected concomitant injuries: osteochondral lesions of the humeral capitellum, injuries of the collateral ligaments or loose joint bodies. Preoperative radiological findings were compared to arthroscopic findings. Afterwards, arthroscopic treatment options and clinical outcomes were assessed. Results Arthroscopic findings led to revision of the classified fracture type in 70% ( p = 0.001) when compared to preoperative conventional radiographs (CR) and in 9% ( p = 0.598) when compared to computed tomography (CT) or magnetic resonance imaging (MRI). Diagnosis of loose bodies was missed in 60% ( p < 0.001) of the CR and in 18% ( p = 0.269) of the CT/MRI scans. Osteochondral lesions were not identified in 94% (p < 0.001) of the CR and in 27% ( p = 0.17) of the CT/MRI scans. Percutaneous screw fixation was performed in 65% and partial radial head resection in 10%. Arthroscopy revealed elbow instability in 35%, leading to lateral collateral ligament reconstruction. After a mean follow up of 41.4 ± 3.4 months functional outcome was excellent in all cases (DASH-Score 0.6 ± 0.8; MEPI-Score 98.5 ± 2.4; OES-Score 47.3 ± 1.1). Conclusions Elbow arthroscopy has a significant diagnostic value in radial head fractures when compared to standard radiological imaging. Although statistically not significant, arthroscopy also revealed concomitant injuries in patients that presented with an uneventful MRI/CT. Furthermore, all intraarticular findings could be treated arthroscopically allowing for excellent functional outcomes. Trial registration Institutional Review Board University of Munich (LMU), Trial Number 507–14.

show abstract

Ellenbogenluxation

Lenich¹,

Siebenlist²

2018

Arthroskopie Und Minimal-Invasive Chirurgie Des Ellenbogens

View full text Add to dashboard Cite

Ellenbogenarthroskopie

Cited by 8 publications

References 27 publications

Benefit of Arthroscopy in Differential Diagnostics and Therapy of Lateral Epicondylitis

Benefit of Arthroscopy in Differential Diagnostics and Therapy of Lateral Epicondylitis

The value of elbow arthroscopy in diagnosing and treatment of radial head fractures

Ellenbogenluxation

Contact Info

Product

Resources

About