Arthroscopic Surgery of the Elbow; Indications, Contra-Indications, Complications and Operative Technique

Frank Theodoor Gabriel Rahusen, Orthopedic Surgeon, Denise Eygendaal

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DOI: 10.4236/ss.2011.25049                

Abstract

Arthroscopy of the elbow was first described by Burman in 1931. In this first article about arthroscopy of the elbow in the journal of bone and joint surgery, he concluded that the elbow joint was not suitable for arthroscopy; the joint was too small and the neurovascular structures in the anterior compartment of the elbow were close. In 1932 he revised his original article with some technical modifications and slowly arthroscopy of the elbow was performed more often. In the late 1980’s arthroscopic surgery of the elbow became more and more popular. In this article an overview is given of the indications for elbow arthroscopy, the surgical technique is described in detail and the possible complications are highlighted.

Keywords

Elbow, Arthroscopy, Surgical Technique, Overview

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	M. S. Burman, “Arthroscopy or the Direct Visualization of Joints: An Experimental Cadaveric Study,” Journal of Bone and Joint Surgery, Vol. 13, No. 4, 1931, pp. 669-695.
[2]	N. C. Small, “Complications in Arthroscopy: The Knee and other Joints,” Arthroscopy, Vol. 2, No. 4, 1986, pp. 253-258. doi:10.1016/S0749-8063(86)80080-9
[3]	S. W. O’Driscoll and B. F. Morrey, “Arthroscopy of the Elbow. Diagnostic and Therapeutic Benefits and Hazards,” Journal of Bone & Joint Surgery, Vol. 74, No. 1, 1992, pp. 84-94.
[4]	L. A. Timmermans, “Histology and Arthroscopic Anat-omy of the Ulnar Collateral Ligament of the Elbow,” American Journal of Sports Medicine, Vol. 22, No. 5, 1994, pp. 667-673. doi:10.1177/036354659402200515
[5]	L. A. Field and D. W. Altchek, “Evaluation of the Arth-roscopic Valgus Instability Test of the Elbow,” American Journal of Sports Medicine, Vol. 24, No. 2, 1996, pp. 177-181. doi:10.1177/036354659602400210
[6]	M. P. Flury, J. Goldhahn, S. Drerup and B. R. Simmen, “Arthroscopic and Open Options for Surgical Treatment of Chondromatosis of the Elbow,” Arthroscopy, Vol. 24, No. 5, 2008, pp. 520-525. doi:10.1016/j.arthro.2007.12.002
[7]	F. T. Rahusen, J. M. Brinkman and D. Eygendaal, “Arth-roscopic Treatment of Posterior Impingement of the Elbow in Athletes: A Medium-Term Follow-Up in Sixteen Cases,” Journal of Shoulder and Elbow Surgery, Vol. 18, No. 2, 2009, pp. 279-282. doi:10.1016/j.jse.2008.10.015
[8]	C. L. Baker, “Arthroscopy of the Elbow,” American Jour-nal of Sports Medicine, Vol. 27, No. 2, 1999, pp. 251-264.
[9]	Y. A. De Boer, C. H. Van den Ende, D. Eygendaal, I. M. Jolie, J. M. Hazes and P. M. Rozing, “Clinical Reliability and Validity of the Elbow Functional Assessment in Rheumatoid Arthritis,” Journal of Rheumatology, Vol. 26, No. 9, 1999, pp. 1909-1917.
[10]	A. L. Lindenhovius and J. B. Jupiter, “The Posttraumatic Stiff Elbow: A Review of the Literature,” Journal of Hand Surgery, Vol. 32, No. 10, 2007, pp. 1605-1623. doi:10.1016/j.jhsa.2007.09.015
[11]	C. M. Ball, M. Meunier, L. M. Galatz, R. Calfee and K. Yamaguchi, “Arthroscopic Treatment of Post-Traumatic Elbow Contracture,” Journal of Shoulder and Elbow Sur-gery, Vol. 11, No. 6, 2002, pp. 624-629. doi:10.1067/mse.2002.126770
[12]	J. W. T. Byrd, “Elbow Arthroscopy for Arthrofibrosis after Type I Radial Head Fractures,” Arthroscopy, Vol. 10, No. 2, 1994, pp. 162-165. doi:10.1016/S0749-8063(05)80087-8
[13]	M. S. Cohen, “Hastings H 2nd. Post-Traumatic Contrac-ture of the Elbow: Operative Release Using a Lateral Collateral Ligament Sparing Approach,” Journal of Bone and Joint Surgery, Vol. 80, 1998, pp. 805-812. doi:10.1302/0301-620X.80B5.8528
[14]	U. Gundlach and D. Eygendaal, “Surgical Treatment of Posttraumatic Stiffness of the Elbow, 2-Year Outcome in 21 Patients after Column Procedure,” Acta orthopaedica, Vol. 79, No. 1, 2008, pp. 74-77. doi:10.1080/17453670710014798
[15]	D. Sahajpal, T. Choi and T. W. Wright, “Arthroscopic Release of the Stiff Elbow,” Journal of Hand Surgery, Vol. 34, No. 3, 2009, pp. 540-544. doi:10.1016/j.jhsa.2008.12.018
[16]	B. F. Morrey, “Functional Anatomy of the Ligaments of the Elbow,” Clinical Orthopaedics and Related Research, Vol. 201, 1985, pp. 84-90.
[17]	T. Haapaniemi, M. Berggeren and L. Adolfsson, “Case Report Complete Transection of the Median and Radial Nerves during Arthroscopic Release of Post-Traumatic Elbow Contracture,” Arthroscopy, Vol. 15, No. 7, 1999, pp. 784-787. doi:10.1016/S0749-8063(99)70015-0
[18]	E. W. Kelly, B. F. Morrey and S. W. O’Driscoll, “Com-plications of Elbow Arthroscopy,” Journal of Bone and Joint Surgery, Vol. 83, 2001, pp. 25-34.