Guhl J F
Orthopedics. 1985 Oct;8(10):1290-6. doi: 10.3928/0147-7447-19851001-17.
Arthroscopy and arthroscopic surgery of the elbow were performed in 45 cases of 3,300 arthroscopic procedures between 1974 through 1984. The indications established are: loose body removal, treatment of osteochondritis dissecans, synovectomy for non-specific and rheumatoid synovitis, treatment of some selected fractures, debridement of specific cases of degenerative arthritis, excision of osteophytes and for evaluation and treatment of the undiagnosed painful elbow. The choice of two different methods is described; one with the arm on an arm table as for hand surgery, and the other with the arm suspended overhead for easier access to the medial side. Normal arthroscopic anatomy of the elbow joint is described. The instruments have been classified as those most commonly used, those of special use, those instruments rarely or never used, and some special instruments introduced more recently. Eight approaches to the elbow joint for viewing and instrumentation are illustrated. The technique for entering the joint, distending and placing the scope, establishing drainage, probing and instrumentation is shown and illustrated. Immediate postoperative care and complications are shown. Seven representative cases are presented. Results of this small number of cases clearly indicate that there is a need for diagnostic and operative arthroscopy of the elbow.
1974年至1984年间，在3300例关节镜手术中，对45例患者实施了肘关节镜检查及关节镜手术。确定的适应证包括：取出游离体、治疗剥脱性骨软骨炎、对非特异性和类风湿性滑膜炎进行滑膜切除术、治疗某些选定的骨折、对特定的退行性关节炎病例进行清创、切除骨赘以及评估和治疗未确诊的疼痛性肘关节。描述了两种不同的方法；一种是像手部手术那样将手臂放在臂托上，另一种是将手臂悬吊在头顶上方以便更易于接近内侧。描述了肘关节的正常关节镜解剖结构。器械被分为最常用的、特殊用途的、很少或从未使用过的以及一些最近引入的特殊器械。展示了进入肘关节进行观察和操作的八种方法。展示并说明了进入关节、扩张和放置镜、建立引流、探查和操作的技术。展示了术后即刻护理及并发症情况。呈现了七个典型病例。这少数病例的结果清楚地表明，肘关节的诊断性和手术性关节镜检查是必要的。
