| Abstract | Clear indications have been recognised for arthroscopic surgery of the elbow since the 1980s. Good indications are loose bodies, mild or moderate restriction of the range of movement and early stages of rheumatoid arthritis. Cartilage diseases such as Panner disease or focal radial chondropathy can be treated by arthroscopic debridement and microfracturing. Impingement syndromes affecting the lateral compartment of the joint respond well to resection of synovial plicae. The technical demands of endoscopic arthrolysis procedures for joints with mild or moderate restriction of range of movement are extremely heavy; only experienced surgeons should operate on such patients. Arthroscopy of the elbow joint should be carried out only by operators who have already gained experience in other joints, because of the close relations of nerves and vessels in the elbow. A rigorous standard should be followed in planning the procedure and in creation of the portals and performance of the diagnostic round-up in the joint, to make it possible to work purposefully and quickly, and thus with minimum complications. |
| Authors | M Witt, T Mittlmeier
(Affiliation: Abt. Unfall- u. Wiederherstellungschirurgie, Universität Rostock, Klinik und Poliklinik für Chirurgie, Schillingallee 35, Rostock, Germany. mathias.witt at med.uni-rostock.de)
|
| Journal | Der Unfallchirurg
(Unfallchirurg)
Vol. 110
Issue 11
Pg. 953-62; quiz 963
(Nov 2007)
ISSN: 0177-5537 Germany |
| Vernacular Title | Arthroskopie des Ellbogengelenks. |
| PMID | 17989950
(Publication Type: Case Reports, English Abstract, Journal Article)
|
| Topics |
- Arthroscopy
(methods)
- Debridement
- Elbow Joint
(injuries, surgery)
- Humans
- Joint Diseases
(diagnosis, surgery)
- Joint Loose Bodies
(diagnosis, surgery)
- Male
- Middle Aged
- Surgical Instruments
- Synovial Membrane
(surgery)
|
