Abstract
Osteoarthritis of the elbow is featured by hypertrophic osteophyte formation, loose body, and capsular contracture. Meanwhile, there is relative preservation of articular cartilage and maintenance of joint space. Typical symptom includes loss of elbow motion and impingement-type pain at terminal extension and flexion. The ideal surgical treatment is osteocapsular arthroplasty. This procedure includes removal of loose bodies and osteophytes as well as capsulectomy. It can be done arthroscopically or through an open approach. The technique of arthroscopic osteocapsular arthroplasty of the elbow has been well developed in the past decade.
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Bibliography
Morrey BF. Primary degenerative arthritis of the elbow: treatment by ulnohumeral arthroplasty. J Bone Joint Surg Br. 1992;74:409–13.
O’Driscoll SW. Arthroscopic treatment for osteoarthritis of the elbow. Orthop Clin North Am. 1995;26:691–706.
Savoie FH III, Nunley PD, Field LD. Arthroscopic management of the arthritic elbow: indications, technique, and results. J Shoulder Elb Surg. 1999;8(3):214e219.
Steinmann SP, King GJ, Savoie FH 3rd. Arthroscopic treatment of the arthritic elbow. Instructional course lecture. J Bone Joint Surg Am. 2005;87:2114–21.
Kelly EW, Morrey BF, O’Driscoll SW. Complications of elbow arthroscopy. J Bone Joint Surg Am. 2001;83:25–34.
Nelson GN, Wu T, Galatz LM, et al. Elbow arthroscopy: early complications and associated risk factors. J Shoulder Elb Surg. 2014;23(2):273–8.
Ruch DS, Poehling GG. Anterior interosseus nerve injury following elbow arthroscopy. Arthroscopy. 1997;13(6):756–8.
Kim SJ, Kim JW, Lee SH, Choi JW. Retrospective comparative analysis of elbow arthroscopy used to treat primary osteoarthritis with and without release of the posterior band of the medial collateral ligament. Arthroscopy. 2017;33:1506–11.
Jinnah AH, Luo TD, Wiesler ER, et al. Peripheral nerve injury after elbow arthroscopy: an analysis of risk factors. Arthroscopy. 2018;34(5):1447–52.
O’Driscoll SW, Morrey BF. Arthroscopy of the elbow. In: Morrey BF, editor. Master techniques in orthopaedic surgery: the elbow. New York: Raven Press; 1994. p. 21–34.
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;95:1373–81.
Sahajpal DT, Blonna D, O’Driscoll SW. Anteromedial elbow arthroscopy portals in patients with prior ulnar nerve transposition or subluxation. Arthroscopy. 2010;26:1045–52.
Acknowledgement
I would like to thank Dr Shawn O’Driscoll of Mayo Clinic, Rochester, MN, USA for his teaching. The principle and surgical technique of elbow arthroscopy that I described in this chapter is straightly learned from him.
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Lu, J.Z., Li, S.L. (2021). Arthroscopic Management of Osteoarthritis. In: Lui, T.H. (eds) Arthroscopy and Endoscopy of the Hand, Wrist and Elbow. Springer, Singapore. https://doi.org/10.1007/978-981-16-4142-8_18
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DOI: https://doi.org/10.1007/978-981-16-4142-8_18
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