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Arthroscopic Treatment of Elbow Fractures: How I Do It!

  • Enrico GuerraEmail author
  • Alessandro Marinelli
  • Graziano Bettelli
  • Marco Cavallo
  • Alice Ritali
  • Roberto Rotini
Chapter

Abstract

Intra-articular fractures, by their definition, should be anatomically reduced with accuracy besides being fixed in a stable manner. Arthroscopy has already shown its usefulness in all the joints, by improving the visual field of the joint surface with a minimally invasive surgical approach.

The literature shows little scientific evidence about the various indications for arthroscopy of the elbow1. These indications include fractures of the radial head, capitellum, trochlea, and coronoid.

This chapter addresses the various articular fractures of the elbow, where arthroscopy can nowadays be considered to be a real help. The most important technical aspects are summarized in the light of the literature and the authors’ personal experience.

Keywords

ARIF Capitellum Radial head Coronoid Fracture 

Supplementary material

Video 75.1

Radial head fracture arthroscopic reduction (MP4 71938 kb)

References

  1. 1.
    Mitani M, Nabeshima Y, Ozaki A, Mori H, Issei N, Fujii H, Fujioka H, Doita M. Arthroscopic reduction and percutaneous cannulated screw fixation of a capitellar fracture of the humerus: a case report. J Shoulder Elb Surg. 2009;18(2):e6–9.CrossRefGoogle Scholar
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    Dubberley JH, Faber KJ, Macdermid JC, Patterson SD, King GJ. Outcome after open reduction and internal fixation of capitellar and trochlear fractures. J Bone Joint Surg Am. 2006;88(1):46–54.PubMedGoogle Scholar
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    Hausman MR, Klug RA, Qureshi S, Goldstein R, Parsons B. Arthroscopically assisted coronoid fracture fixation: a preliminary report. Clin Orthop Relat Res. 2008;466(12):3147–52.  https://doi.org/10.1007/s11999-008-0502-2.CrossRefPubMedPubMedCentralGoogle Scholar
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    O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MG. Difficult elbow fractures: pearls and pitfalls. Instr Course Lect. 2003;52:113–34.PubMedGoogle Scholar
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    Rolla PR, Surace MF, Bini A, Pilato G. Arthroscopic treatment of fractures of the radial head. Arthroscopy. 2006;22(2):233.e1–6.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Enrico Guerra
    • 1
    Email author
  • Alessandro Marinelli
    • 1
  • Graziano Bettelli
    • 1
  • Marco Cavallo
    • 1
  • Alice Ritali
    • 1
  • Roberto Rotini
    • 1
  1. 1.Shoulder and Elbow Surgery UnitRizzoli Orthopaedic InstituteBolognaItaly

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