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Elbow arthroscopy in acute injuries

Authors
  • Van Tongel, Alexander1
  • Macdonald, Peter2
  • Van Riet, Roger3
  • Dubberley, Jamie2
  • 1 Ghent University Hospital, Department of Orthopaedic Surgery and Traumatology, De Pintelaan 185, Gent, 9000, Belgium , Gent (Belgium)
  • 2 University of Manitoba, PanAm Clinic, 75 Poseidon Bay, Winnipeg, MB, R3M 3E4, Canada , Winnipeg (Canada)
  • 3 Monica Research Foundation, Department of Orthopaedics and Traumatology, Monica Hospital, Deurne, 2100, Belgium , Deurne (Belgium)
Type
Published Article
Journal
Knee Surgery Sports Traumatology Arthroscopy
Publisher
Springer-Verlag
Publication Date
Jan 26, 2012
Volume
20
Issue
12
Pages
2542–2548
Identifiers
DOI: 10.1007/s00167-012-1904-y
Source
Springer Nature
Keywords
License
Yellow

Abstract

PurposeArthroscopy of the elbow has become a standard treatment option for many indications. The purpose of this article is to review literature concerning the use of arthroscopy for acute elbow injuries.MethodsThe main medical literature databases were searched for articles on the use of elbow arthroscopy in acute injuries. A total of 13 publications relevant to the topic were included. The Coleman methodology score was used to assess the methods of each article.ResultsAll published articles have been case reports or retrospective case series. In fracture treatment, arthroscopy has been used in the treatment of displaced radial head, coronoid and capitellum fractures in adults and displaced radial neck and lateral humeral condyle fractures in children with good results. Endoscopic techniques have been used in distal biceps rupture and medial avulsion of the triceps. And also new techniques have been developed for the treatment of intra-articular soft-tissue lesions like rupture of the radial ulnohumeral ligament complex. One of the 13 studies analyzed was considered of good quality, 5 of moderate quality and all others of poor quality with inconsistent methodology and outcomes.ConclusionThe range of treatments using elbow arthroscopy in acute injuries is expanding and brings new controversies and challenges. Single reports of arthroscopically treated bony and soft-tissue injuries of the elbow showed satisfactory results. However, further randomized prospective studies are needed to evaluate their safety and efficacy compared with open ‘gold standard’ techniques.Level of evidenceIV.

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