Dodson Christopher C, Nho Shane J, Williams Riley J, Altchek David W
Hospital for Special Surgery, New York, NY 10021, USA.
J Am Acad Orthop Surg. 2008 Oct;16(10):574-85. doi: 10.5435/00124635-200810000-00003.
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.
由于肘关节囊较小且靠近多个关键神经血管结构，肘关节镜检查最初被认为是一种不安全的手术。然而，在过去十年中，该手术已变得更安全、更有效。这些改进可归因于对肘关节解剖结构和肘部疾病的更好理解，以及关节镜设备和手术技术的进步。肘关节镜检查最常见的适应证包括取出游离体、滑膜切除术、骨赘清理和/或切除、关节囊松解以及剥脱性骨软骨炎的评估和治疗。最近的进展扩大了肘关节镜检查的适应证，包括骨折处理（如桡骨头骨折）和外侧上髁炎的治疗。
