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Arthroscopic Management of Elbow Disorders: Osteochondritis Dissecans, Loose Bodies, Synovitis, Arthritis, and Fracture Fixation

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Advanced Arthroscopy
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Abstract

During the half century following Burman’s1 1931 statement that the elbow joint was “unsuitable for examination by the arthroscope,” little attention was given to arthroscopy of this joint. This is evidenced by the fact that a major orthopedic textbook, published in 1982 and devoted solely to the elbow joint, did not even contain the word arthroscopy in its index.2 Since 1985, when a series of 226 cases was reported by Ito,3 elbow arthroscopy has become an established and valuable diagnostic and therapeutic procedure. It offers major advantages in the treatment of many disorders of the elbow. However, the potential for injury to nearby major nerves and vessels is greater in the elbow joint than in any other. Detailed knowledge of elbow anatomy and surgical portals is essential before attempting arthroscopic procedures in this joint.4,5 This chapter briefly reviews the essential anatomic knowledge required for a safe and reproducible approach to the treatment of some important disorders of the elbow joint.

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References

  1. Burman MS. Arthroscopy or the direct visualization of joints: an experimental cadaver study. J Bone Joint Surg 1931; 13: 669.

    Google Scholar 

  2. Wadsworth TG. The elbow. Edinburgh, London, Melbourne, and New York: Churchill-Livingstone, 1982.

    Google Scholar 

  3. Ito K. Arthroscopy of the elbow joint. In: Watanabe M, ed. Arthroscopy of small joints. Tokyo-New York: Igaku-Shoin, 1985: 57–84.

    Google Scholar 

  4. Day B. Elbow arthroscopy in the athlete. Clin Sport Med 1996; 15: 785–797.

    CAS  Google Scholar 

  5. Stothers K, Day B, Regan W. Arthroscopic anatomy of the elbow: an anatomical study and description of a new portal. Arthroscopy 1993; 9: 362–363.

    Google Scholar 

  6. Andrews JR, Carson WG. Arthroscopy of the elbow. Arthroscopy 1985; 1: 97–107.

    Article  PubMed  CAS  Google Scholar 

  7. Woods GW. Elbow arthroscopy. Clin Sports Med 1987; 6: 557–564.

    PubMed  CAS  Google Scholar 

  8. Smith JB. Letter to the editor. Arthroscopy 1989; 3: 238–41.

    Google Scholar 

  9. Poehling GG, Whipple TL, Sisco L, Goldman MS. Elbow arthroscopy: a new technique. Arthroscopy 1989; 5: 222–224.

    Article  PubMed  CAS  Google Scholar 

  10. Marshall PD, Fairclough JA, Johnson SR, Evans EJ. Avoiding nerve damage during elbow arthroscopy. J Bone Joint Surg 1993; 75B: 129–133.

    CAS  Google Scholar 

  11. Redden JF, Stanley DS. Arthroscopic fenestration of the olecranon fossa in the treatment of osteoarthritis of the elbow. Arthroscopy 1993; 1: 14–16.

    Google Scholar 

  12. Ogilvie-Harris DJ, Gordon R, Mackay M. Arthroscopic treatment for posterior impingement in degenerative arthritis of the elbow. Arthroscopy 1995; 11: 437–443.

    Article  PubMed  CAS  Google Scholar 

  13. Smith JB, Kirby RM. Transhumeral approach to the front of the elbow joint. Arthroscopy 1997.

    Google Scholar 

  14. Baker CL, Shalvoy RM. The prone position for elbow arthroscopy. Clin Sports Med 1991; 10: 623–628.

    PubMed  Google Scholar 

  15. Bauer M, Jonsson K, Josefsson PO, Linden B. Osteochondritis dissecans of the elbow. A long-term follow up. Clin Orthop 1992; 284: 156–160.

    PubMed  Google Scholar 

  16. Jackson SN, Reiman PR, Morrison DS. Osteochondritis disse-cans in the female gymnast’s elbow. Arthroscopy 1988; 4: 132.

    Google Scholar 

  17. Haraldsson S. On osteochondritis deformans juvenilis capital humeri including intraosseous vasculature in distal humerus. Orthop Scand Suppl 1959; 38: 1.

    CAS  Google Scholar 

  18. Janary PM, Hesser U, Hirsch G. Osteochondral lesions in the radiocapitellar joint in the skeletally immature radiographic, MRI and arthroscopic findings in 13 consecutive cases. J Paediatr Orthop 1991; 17: 311–314.

    Article  Google Scholar 

  19. Robla J, Hechtman KS, Uribe JW, Phillipon MS. Chondromalacia of the trochlear notch in athletes who throw. J Shoulder Elbow Surg 1996; 5: 69–72.

    Article  PubMed  CAS  Google Scholar 

  20. Ruch DS, Poehling GC. Arthroscopic treatment of Panner’s disease. Clin Sports Med 1991; 10: 629–636.

    PubMed  CAS  Google Scholar 

  21. Ruch DS, Poehling GC. Anterior interosseous nerve injury following elbow arthroscopy. Arthroscopy 1997; 13: 756–758.

    Article  PubMed  CAS  Google Scholar 

  22. Jerosch J, Prymka M. Arthroscopic treatment of septic arthritis: a retrospective evaluation of 22 patients. Arthroscopy 1998; 14 (2; suppl): S10.

    Google Scholar 

  23. Ekman EF, Cory JW, Poehling GG. Pigmented villonodular synovitis and synovial chondromatosis arthroscopically diagnosed and treated in the same elbow. Arthroscopy 1997; 13: 114–116.

    Article  PubMed  CAS  Google Scholar 

  24. Feldman MD. Arthroscopic excision of type II capitellar fractures. Arthroscopy 1997; 13: 743–748.

    Article  PubMed  CAS  Google Scholar 

  25. Lynch GJ, Meyers JF, Whipple TL, Casparia RB. Neurovascular anatomy and elbow arthroscopy: inherent risks. Arthroscopy 1986; 2: 190–197.

    Article  PubMed  CAS  Google Scholar 

  26. Papilion JD, Neff RS, Shall LM. Compression neuropathy of the radial nerve as a complication of elbow arthroscopy: a case report and review of the literature. Arthroscopy 1988; 4: 284–286.

    Article  PubMed  CAS  Google Scholar 

  27. Rodeo SA, Forster RA, Weiland AJ. Neurological complications due to arthroscopy. J Bone Joint Surg 1993; 75A: 917–926.

    PubMed  CAS  Google Scholar 

  28. Thomas MA, Fast A, Shapiro D. Radial nerve damage as a complication of elbow arthroscopy. Clin Orthop 1987; 215: 130–131.

    PubMed  Google Scholar 

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Day, B. (2001). Arthroscopic Management of Elbow Disorders: Osteochondritis Dissecans, Loose Bodies, Synovitis, Arthritis, and Fracture Fixation. In: Chow, J.C.Y. (eds) Advanced Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21541-9_24

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  • DOI: https://doi.org/10.1007/978-0-387-21541-9_24

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4684-9513-3

  • Online ISBN: 978-0-387-21541-9

  • eBook Packages: Springer Book Archive

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