Elbow Arthroscopy Basics: Positioning, Portals, and Diagnostic Arthroscopy

The arthroscope has proven itself to be the ideal tool for evaluation and treatment of intra-articular pathology about the elbow. Advances in elbow arthroscopy have enabled surgeons to treat a broad spectrum of disorders that were once thought to be unsafe through arthroscopic techniques. Although technically demanding, recent advances in surgical technique, arthroscopic equipment, and an improved understanding of neurovascular and joint anatomy have made this procedure safer and more effective. Understanding the anatomy of the elbow, as well as the principles and techniques of elbow arthroscopy, allows a surgeon to perform these procedures safely and effectively. Portal placement and knowledge of the pertinent anatomy involved in each specific portal leads to successful surgery with minimal risk. The process and sequence of an elbow scope is visited in this article as well as discussion of pertinent anatomy, positioning, and technique.