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J Am Acad Orthop Surg, Vol 16, No 10, October 2008, 574-585.
© 2008 the American Academy of Orthopaedic Surgeons

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Elbow Arthroscopy

Christopher C. Dodson, MD, Shane J. Nho, MD, Riley J. Williams, III, MD and David W. Altchek, MD

Dr. Dodson is Fellow, Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY. Dr. Nho is Fellow, Sports Medicine Department, Rush Orthopaedics, Chicago, IL. Dr. Williams is Attending Physician, Sports Medicine and Shoulder Service, Hospital for Special Surgery. Dr. Altchek is Co-Chief, Sports Medicine and Shoulder Service, Hospital for Special Surgery.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Dodson, Dr. Nho, Dr. Williams, and Dr. Altchek.

Reprint requests: Dr. Altchek, Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021.

Arthroscopy of the elbow was originally considered to be an unsafe procedure because of the small size of the elbow joint capsule and its proximity to several crucial neurovascular structures. Over the past decade, however, the procedure has become safer and more effective. These improvements can be attributed to a better understanding of elbow anatomy and of the disorders about the elbow as well as to advances in arthroscopic equipment and surgical technique. The most common indications for elbow arthroscopy include removal of loose bodies, synovectomy, débridement and/or excision of osteophytes, capsular release, and the assessment and treatment of osteochondritis dissecans. More recent advances have expanded the indications of elbow arthroscopy to include fracture management (eg, radial head fractures) and the treatment of lateral epicondylitis.







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