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Technik der Ellenbogenarthroskopie

Portale, Risiken, Setup

Technique of elbow arthroscopy

Portals, risks and setup

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Hintergrund

Die Ellenbogenarthroskopie ermöglicht effektiv die Diagnostik und Therapie von zahlreichen intra- und extraartikulären Pathologien des Ellenbogens. Das Indikationsspektrum der Ellenbogenarthroskopie hat sich in den letzten Jahrzehnten erweitert.

Methoden

Das kleine Gelenk, die komplexe Anatomie und die Nähe zu den neurovaskulären Strukturen erschweren die arthroskopische Orientierung und machen eine Therapie technisch anspruchsvoll.

Schlussfolgerung

Arthroskopische Erfahrung, die genaue Kenntnis der Ellenbogenanatomie (intra- und periartikulär), die Lagerung des Patienten, die Wahl der arthroskopischen Instrumente und das Flüssigkeitsmanagement sowie die Portalwahl und -platzierung sind wichtige Faktoren, um die Ellenbogenarthroskopie erfolgreich durchführen und Komplikationen vermeiden zu können.

Abstract

Background

Elbow arthroscopy has become a reliable procedure for the diagnostics and therapy of various intra-articular and periarticular pathologies of the elbow. The range of medical indications has increased during the last decades.

Methods

The small size of the joint, the complex anatomy and the vicinity of neurovascular structures complicate the arthroscopic orientation and create a challenging therapeutic procedure.

Conclusions

Arthroscopic experience, knowledge of the anatomy (intra-articular and periarticular), patient positioning, portal placement, fluid management and the choice of instruments are crucial for performing a safe and effective operation and to avoid complications.

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Authors and Affiliations

  1. Centrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, Haus 29, 01307, Dresden, Deutschland

    J. Dexel & P. Kasten

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  1. J. Dexel
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  2. P. Kasten
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Correspondence to J. Dexel.

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Dexel, J., Kasten, P. Technik der Ellenbogenarthroskopie. Arthroskopie 26, 174–180 (2013). https://doi.org/10.1007/s00142-012-0727-7

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