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Arthroskopie des Ellenbogens

Anatomie, Portale, Indikationen und Komplikationen

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Zusammenfassung

Indikationen für die Ellenbogenarthroskopie sind die diagnostische Arthroskopie, die Entfernung freier Gelenkkörper, die Osteophytenabtragung, die Synovektomie, die Osteochondrosis dissecans und die Arthrolyse bei Kontrakturen des Ellenbogens.

Die genaue Kenntnis der Anatomie und arthroskopische Erfahrung sind notwendig, um mit der engen Lagebeziehung der neurovaskulären Strukturen umzugehen. Damit die Operation schnell und komplikationsarm ausgeführt werden kann, sind eine korrekte Lagerung, die Markierung der Landmarken sowie die exakte Platzierung der Portale nötig.

Der Anteil an Komplikationen ist verglichen mit den Knie- und Schulterarthroskopien häufiger, wobei geringfügige Komplikationen überwiegen. Die gefürchteten Nervenläsionen sind meistens transient, treten sie aber permanent auf, haben sie weitreichende Folgen für die Patienten.

Die Ellenbogenarthroskopie hat sich zu einem sicheren und wichtigen Verfahren der Diagnostik und Therapie von Ellenbogenpathologien entwickelt.

Abstract

Indications for elbow arthroscopy include diagnostic arthroscopy, removal of loose bodies and osteophytes, synovectomy, treatment of osteochondrosis dissecans and capsular release in case of contracture. In particular, the anatomic vicinity of the neurovascular structures to the portals requires a thorough knowledge of elbow anatomy and some experience with the procedure. The exact positioning of the patient, identification of the landmarks and knowledge of the correct portal placement are necessary to perform a safe and effective operation and to avoid complications.

The overall complication rate is higher as compared to knee- or shoulder arthroscopy with minor complications predominating. Nerve lesions are transient most of the time; however, being permanent they cause substantial problems for the patient. Overall, elbow arthroscopy has become a safe and reliable procedure for the diagnosis and therapy of elbow disorders.

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  1. Klinik und Poliklinik für Orthopädie, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland

    Julian Dexel &  Philip Kasten

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Correspondence to Philip Kasten.

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Dexel, J., Kasten, P. Arthroskopie des Ellenbogens. Obere Extremität 8, 2–8 (2013). https://doi.org/10.1007/s11678-013-0201-9

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