Andrews J R, St Pierre R K, Carson W G
Clin Sports Med. 1986 Oct;5(4):653-62.
For arthroscopy of the elbow to be safe and effective, the arthroscopist must develop a systematic and reproducible arthroscopic examination technique. We believe that the technique and the identification of anatomic structures described in this article provide a safe and reliable means of performing this procedure. Attention to detail, especially when establishing the portals, is essential in performing a safe examination and in avoiding damage to the neurovascular structures. We prefer the 4-mm, 30-degree-angled arthroscope. It provides the wide field of view necessary for both diagnostic and operative elbow arthroscopy. The large percentage of excellent and good results in patients who have had correction of mechanical disorders of the elbow has been encouraging. Removal of loose bodies and resection of impinging olecranon osteophytes produced the best functional results. Chondroplasties of the radial head and capitellum produced less satisfactory results than did the correction of mechanical disorders. In conclusion, arthroscopy of the elbow is an effective diagnostic procedure and is effective in treating certain intraarticular problems with minimal morbidity and rapid return to function. However, attention to detail is essential to prevent compromise of the surrounding neurovascular structures or damage to the delicate articular cartilage.
为使肘关节镜检查安全有效，关节镜医师必须开发一种系统且可重复的关节镜检查技术。我们认为本文所述的技术及解剖结构的识别为实施该手术提供了一种安全可靠的方法。在进行安全检查及避免损伤神经血管结构时，注重细节至关重要，尤其是在建立入口时。我们更倾向于使用4毫米、30度角的关节镜。它为诊断性和手术性肘关节镜检查提供了所需的广阔视野。对患有肘关节机械性紊乱并已得到矫正的患者而言，高比例的优良结果令人鼓舞。取出游离体和切除撞击鹰嘴的骨赘产生了最佳的功能结果。桡骨头和肱骨小头的软骨成形术的效果不如机械性紊乱矫正术令人满意。总之，肘关节镜检查是一种有效的诊断方法，对于治疗某些关节内问题有效，且发病率极低，功能恢复快。然而，注重细节对于防止周围神经血管结构受损或对脆弱的关节软骨造成损伤至关重要。
