The arthroscopic managementof cartilage lesions, loose bodies, and synovial lesions of the elbow

Since elbow arthroscopy first graduated from a purely diagnostic procedure, the management of cartilage and synovial lesions has remained the most frequent therapy. The most common indications for elbow arthroscopy in the athletic population are the removal of loose bodies and the debridement of periarticular osteophytes, and for these mechanical disorders the procedure has clearly shown its value. The success in treating pathologic conditions in the elbow is substantially dependent on the ability of the arthroscopist. The high degree of congruency of the articular surfaces and the relatively small capsular volume demand a thorough knowledge of arthroscopic elbow anatomy and the relationships of the articulating surfaces. Skills in portal placement, instrument triangulation, and safely maneuvering the arthroscope to obtain optimal views are essential. To the degree that these necessities are met, gratifying results can be achieved in the arthroscopic management of loose bodies, chondromalacia, osteochondritis dissecans, synovitis, synovial osteochondromatosis, and lateral synovial plicas.