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Elbow Arthroscopy: From Basic to Advance (ICL 20)

  • A. Van Tongel
  • Paolo Arrigoni
  • Marc R. Safran
  • Denise Eygendaal
  • L. A. PederziniEmail author
  • E. Tripoli
  • A. Cheli
  • A. Mehmet Demirtaş
  • M. Derviş Güner
  • Roger P. van Riet
Chapter

Abstract

Elbow arthroscopy is becoming more and more popular. Compared to open elbow procedure, this surgical technique has several advantages: able to see better, improved access, magnification (a microscope of the elbow), minimal “collateral damage,” less scarring, decreased risk of infection, and less postoperative pain. But it also includes some risks that are more common compared to an open procedure like compartment syndrome and transient or permanent nerve injuries.

Keywords

Carpal Tunnel Syndrome Ulnar Nerve Radial Head Lateral Collateral Ligament Flexor Carpus Radialis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Baker Jr CL, Murphy KP, Gottlob CA, Curd DT. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Should Elbow Surg Am Should Elbow Surg. 2000;9(6):475–82.CrossRefGoogle Scholar
  2. 2.
    Baker Jr CL, Baker 3rd CL. Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Am J Sports Med. 2008;36(2):254–60.CrossRefPubMedGoogle Scholar
  3. 3.
    Owens BD, Murphy KP, Kuklo TR. Arthroscopic release for lateral epicondylitis. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2001;17(6):582–7.CrossRefGoogle Scholar
  4. 4.
    Lattermann C, Romeo AA, Anbari A, Meininger AK, McCarty LP, Cole BJ, et al. Arthroscopic debridement of the extensor carpi radialis brevis for recalcitrant lateral epicondylitis. J Should Elbow Surg Am Should Elbow Surg. 2010;19(5):651–6.CrossRefGoogle Scholar
  5. 5.
    Grewal R, MacDermid JC, Shah P, King GJ. Functional outcome of arthroscopic extensor carpi radialis brevis tendon release in chronic lateral epicondylitis. J Hand Surg. 2009;34(5):849–57.CrossRefGoogle Scholar
  6. 6.
    Oki G, Iba K, Sasaki K, Yamashita T, Wada T. Time to functional recovery after arthroscopic surgery for tennis elbow. J Should Elbow Surg Am Should Elbow Surg. 2014;23(10):1527–31.CrossRefGoogle Scholar
  7. 7.
    Szabo SJ, Savoie 3rd FH, Field LD, Ramsey JR, Hosemann CD. Tendinosis of the extensor carpi radialis brevis: an evaluation of three methods of operative treatment. J Should Elbow Surg Am Should Elbow Surg. 2006;15(6):721–7.CrossRefGoogle Scholar
  8. 8.
    Lo MY, Safran MR. Surgical treatment of lateral epicondylitis: a systematic review. Clin Orthop Relat Res. 2007;463:98–106.PubMedGoogle Scholar
  9. 9.
    Othman AM. Arthroscopic versus percutaneous release of common extensor origin for treatment of chronic tennis elbow. Arch Orthop Trauma Surg. 2011;131(3):383–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Solheim E, Hegna J, Oyen J. Arthroscopic versus open tennis elbow release: 3- to 6-year results of a case-control series of 305 elbows. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2013;29(5):854–9.CrossRefGoogle Scholar
  11. 11.
    Kim JW, Chun CH, Shim DM, Kim TK, Kweon SH, Kang HJ, et al. Arthroscopic treatment of lateral epicondylitis: comparison of the outcome of ECRB release with and without decortication. Knee Surg Sports Traumatol Arthrosc: Off J ESSKA. 2011;19(7):1178–83.CrossRefGoogle Scholar
  12. 12.
    Safran MR. Elbow injuries in athletes. A review. Clin Orthop Relat Res. 1995;310:257–77.PubMedGoogle Scholar
  13. 13.
    Baker CL, Romeo AA. Osteochondritis dissecans of the capitellum. AM J Sport Med. 2010;38:1917–28.CrossRefGoogle Scholar
  14. 14.
    Baumgarten TE, Andrews JR, Satterwhite YE. The arthroscopic classification and treatment of osteochondritis dissecans of the capitellum. Am J Sports Med. 1998;26(4):520–3.PubMedGoogle Scholar
  15. 15.
    Coates KE, Poehling G. Osteochondritis Dissecans lesions and loose bodies of the elbow. Elbow Arthrosc. 2013;3:25–33.Google Scholar
  16. 16.
    Davis JT, Idjadi JA, Siskosky MJ, ElAttrache NS. Dual direct lateral portals for treatment of osteochondritis dissecans of the capitellum: an anatomic study. Arthroscopy. 2007;23:723–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Pederzini LA, Tripoli E, Tosi M, Nicoletta F, Scuccimarra T. Tricks in elbow arthroscopy. Sport Injures. 2014;2014:1–14.Google Scholar
  18. 18.
    Savoie FH. Guidelines to becoming an expert elbow arthroscopist. Arthroscopy. 2007;23:1237–40.CrossRefPubMedGoogle Scholar
  19. 19.
    Siparsky PN, Kocher MS. Current concepts in pediatric adolescent arthroscopy. Arthroscopy. 2009;25:1453–69.CrossRefPubMedGoogle Scholar
  20. 20.
    Steinmann SP. Elbow arthroscopy: where are we now? Arthroscopy. 2007;23:1231–6.CrossRefPubMedGoogle Scholar
  21. 21.
    Tsuda E, Ishibashi Y, Sato H, Yamamoto Y, Toh S. Osteochondral autograft transplantation for osteochondritis dissecans of the capitellum in nonthrowing athletes. Arthroscopy. 2005;21:1270.e1–1270.CrossRefGoogle Scholar
  22. 22.
    Waris W. Elbow injuries of javelin-throwers. Acta Chir Scand. 1946;93(6):563–75.PubMedGoogle Scholar
  23. 23.
    Josefsson PO, Nilsson BE. Incidence of elbow dislocation. Acta Orthop Scand. 1986;57(6):537–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Cobb TK. Endoscopic cubital tunnel release. J Hand Surg. 2010;35(10):1690–7.CrossRefGoogle Scholar
  25. 25.
    Barlaan PI, Ip JW. Our early experience in surgical and clinical outcome on endoscopic cubital tunnel release: a preliminary result. ISRN Orthop. 2011;2011:427403.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Cobb TK, Sterbank PT, Lemke JH. Endoscopic cubital tunnel recurrence rates. Hand. 2010;5(2):179–83.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Cobb TK, Walden AL, Merrell PT, Lemke JH. Setting expectations following endoscopic cubital tunnel release. Hand. 2014;9(3):356–63.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Fowler JR. Endoscopic cubital tunnel release. J Hand Surg. 2014;39(10):2064–6.CrossRefGoogle Scholar
  29. 29.
    Hoffmann R, Lubahn J. Endoscopic cubital tunnel release using the Hoffmann technique. J Hand Surg. 2013;38(6):1234–9.CrossRefGoogle Scholar
  30. 30.
    Kasdan ML. Endoscopic cubital tunnel release. J Hand Surg [Am]. 1999;24(3):647.CrossRefGoogle Scholar
  31. 31.
    Mirza A, Mirza JB, Lee BK, Adhya S, Litwa J, Lorenzana DJ. An anatomical basis for endoscopic cubital tunnel release and associated clinical outcomes. J Hand Surg. 2014;39(7):1363–9.CrossRefGoogle Scholar
  32. 32.
    Bain GI, Bajhau A. Endoscopic release of the ulnar nerve at the elbow using the Agee device: a cadaveric study. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2005;21(6):691–5.CrossRefGoogle Scholar
  33. 33.
    Nelson GN, Wu T, Galatz LM, Yamaguchi K, Keener JD. Elbow arthroscopy: early complications and associated risk factors. J Should Elbow Surg Am Should Elbow Surg. 2014;23(2):273–8.CrossRefGoogle Scholar
  34. 34.
    Elfeddali R, Schreuder MH, Eygendaal D. Arthroscopic elbow surgery, is it safe? J Should Elbow Surg Am Should Elbow Surg. 2013;22(5):647–52.CrossRefGoogle Scholar
  35. 35.
    Blonna D, Wolf JM, Fitzsimmons JS, O’Driscoll SW. Prevention of nerve injury during arthroscopic capsulectomy of the elbow utilizing a safety-driven strategy. J Bone Joint Surg Am. 2013;95(15):1373–81.CrossRefPubMedGoogle Scholar
  36. 36.
    Carofino BC, Bishop AT, Spinner RJ, Shin AY. Nerve injuries resulting from arthroscopic treatment of lateral epicondylitis: report of 2 cases. J Hand Surg. 2012;37(6):1208–10.CrossRefGoogle Scholar
  37. 37.
    Raphael BS, Weiland AJ, Altchek DW, Gay DM. Revision arthroscopic contracture release in the elbow resulting in an ulnar nerve transection: surgical technique. J Bone Joint Surg Am. 2011;93 Suppl 1:100–8.PubMedGoogle Scholar
  38. 38.
    Reddy AS, Kvitne RS, Yocum LA, Elattrache NS, Glousman RE, Jobe FW. Arthroscopy of the elbow: a long-term clinical review. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2000;16(6):588–94.CrossRefGoogle Scholar
  39. 39.
    Gay DM, Raphael BS, Weiland AJ. Revision arthroscopic contracture release in the elbow resulting in an ulnar nerve transection: a case report. J Bone Joint Surg Am. 2010;92(5):1246–9.CrossRefPubMedGoogle Scholar
  40. 40.
    Haapaniemi T, Berggren M, Adolfsson L. Complete transection of the median and radial nerves during arthroscopic release of post-traumatic elbow contracture. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 1999;15(7):784–7.CrossRefGoogle Scholar
  41. 41.
    Dodson CC, Nho SJ, Williams 3rd RJ, Altchek DW. Elbow arthroscopy. J Am Acad Orthop Surg. 2008;16(10):574–85.CrossRefPubMedGoogle Scholar
  42. 42.
    Van Tongel A, Macdonald P, Van Riet R, Dubberley J. Elbow arthroscopy in acute injuries. Knee Surg Sports Traumatol Arthrosc: Off J ESSKA. 2012;20(12):2542–8.CrossRefGoogle Scholar
  43. 43.
    Ahcan U, Zorman P. Endoscopic decompression of the ulnar nerve at the elbow. J Hand Surg [Am]. 2007;32(8):1171–6.CrossRefGoogle Scholar
  44. 44.
    Tsai TM, Bonczar M, Tsuruta T, Syed SA. A new operative technique: cubital tunnel decompression with endoscopic assistance. Hand Clin. 1995;11(1):71–80.PubMedGoogle Scholar
  45. 45.
    Kerr DR. Prepatellar and olecranon arthroscopic bursectomy. Clin Sports Med. 1993;12(1):137–42.PubMedGoogle Scholar
  46. 46.
    O’Brien MJ, Savoie 3rd FH. Arthroscopic and open management of posterolateral rotatory instability of the elbow. Sports Med Arthrosc Rev. 2014;22(3):194–200.CrossRefGoogle Scholar
  47. 47.
    Sharma S, MacKay G. Endoscopic repair of distal biceps tendon using an EndoButton. Arthrosc: J Arthrosc Relat Surg: Off Publ Arthrosc Assoc N Am Int Arthrosc Assoc. 2005;21(7):897.CrossRefGoogle Scholar
  48. 48.
    Sanchez-Sotelo J, Morrey BF, O’Driscoll SW. Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2005;87(1):54–61.PubMedGoogle Scholar
  49. 49.
    van Riet RP, Vuylsteke K. Arthroscopic imbrication of the lateral collateral ligament. Data on file. 2015.Google Scholar
  50. 50.
    Michels F, Pouliart N, Handelberg F. Arthroscopic management of Mason type 2 radial head fractures. Knee Surg Sports Traumatol Arthrosc: Off J ESSKA. 2007;15(10):1244–50.CrossRefGoogle Scholar
  51. 51.
    Faber KJ. Coronal shear fractures of the distal humerus: the capitellum and trochlea. Hand Clin. 2004;20(4):455–64.CrossRefPubMedGoogle Scholar
  52. 52.
    Ruchelsman DE, Tejwani NC, Kwon YW, Egol KA. Coronal plane partial articular fractures of the distal humerus: current concepts in management. J Am Acad Orthop Surg. 2008;16(12):716–28.CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2016

Authors and Affiliations

  • A. Van Tongel
    • 1
  • Paolo Arrigoni
    • 2
  • Marc R. Safran
    • 3
  • Denise Eygendaal
    • 4
  • L. A. Pederzini
    • 5
    Email author
  • E. Tripoli
    • 5
  • A. Cheli
    • 5
  • A. Mehmet Demirtaş
    • 6
  • M. Derviş Güner
    • 7
  • Roger P. van Riet
    • 8
  1. 1.University HospitalGhentBelgium
  2. 2.Department of Orthopedics and TraumatologyUniversity of MilanoMilanoItaly
  3. 3.Standford UniversityStandfordUSA
  4. 4.Amphia hospital Breda and University of AmsterdamBredaThe Netherlands
  5. 5.Orthopaedic-Traumatologic DepartmentNew Sassuolo HospitalSassuoloItaly
  6. 6.Hand &Upper extremity, Orthopaedic Surgery and TraumatologyMemorial International Hospital, University Faculty of MedicineAnkaraTurkey
  7. 7.Orthopaedic Surgery and TraumatologyMedicana International HospitalAnkaraTurkey
  8. 8.University Hospital AntwerpAntwerpBelgium

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