Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000 Gent, Belgium.
Knee Surg Sports Traumatol Arthrosc. 2012 Dec;20(12):2542-8. doi: 10.1007/s00167-012-1904-y. Epub 2012 Jan 26.
Arthroscopy 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.
The 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.
All 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.
The 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.
IV.
肘关 节镜检查已成为许多适应证的标准治疗选择。本文旨在回顾有关肘关 节镜用于急性损伤的文献。
主要医学文献数据库中检索了有关急性肘关 节损伤应用肘关 节镜的文章。共纳入了 13 篇与该主题相关的出版物。使用 Coleman 方法评分评估每篇文章的方法。
所有已发表的文章均为病例报告或回顾性病例系列研究。在骨折治疗中，肘关 节镜已被用于治疗成人移位的桡骨头、冠状突和肱骨小头骨折，以及儿童移位的桡骨颈和外侧肱骨髁骨折，效果良好。关节镜技术已用于治疗远端肱二头肌撕裂和肱三头肌内侧撕脱。还为治疗桡尺骨上侧复合韧带复合体撕裂等关节内软组织损伤开发了新技术。13 项研究中有 1 项被认为质量较好，5 项为中等质量，其余均为质量较差，方法和结果不一致。
在急性损伤中使用肘关 节镜治疗的范围正在扩大，并带来新的争议和挑战。单一报告的关节镜治疗肘关 节骨和软组织损伤显示出满意的结果。然而，需要进一步的随机前瞻性研究来评估其安全性和有效性，与开放性“金标准”技术相比。
IV 级。
