Introduction It has been nearly 17 years since the use of the arthroscope to resect the extensor carpi radialis brevis (ECRB) tendon was introduced, and the current treatment protocol for recalcitrant lateral epicondylitis was formulated. Numerous studies demonstrating the technique…
Introduction The indications for elbow arthroscopy have advanced remarkably in the past 30 years. In the past, the arthroscope was an instrument rarely used in the elbow. Originally, it was described as a tool used for diagnostic purposes, removal of…
Introduction Since motion loss is such a major problem at the elbow, the question of manipulation is a common one. I do stretch the elbow under anesthesia, but I avoid and object to the term manipulation because I truly perform…
Introduction Splints are frequently employed at the elbow to provide both static and dynamic protection and to deliver flexion or extension torque. The four most common clinical applications for braces or splints in both postoperative and postinjury management include resting…
Introduction There is sound basic science support for the concept of continuous passive motion (CPM) as an adjunct for the treatment of a joint. It has been shown that this modality can promote chondrogenesis and control hematoma formation and edema…
Introduction The goal of elbow rehabilitation is to restore optimal, pain-free function within the anatomic and physiologic limitations of the patient. To achieve this goal the clinician should adhere to several principles to guide the rehabilitation process: (1) establish a…
Introduction Orthopedic procedures for the elbow are well suited to regional anesthetic techniques. Continuous catheter techniques provide postoperative analgesia and allow early limb mobilization. In addition to intraoperative anesthesia, brachial plexus and peripheral nerve blocks may also be used in…
The elbow surgeon needs some familiarity with exposures of the forearm. These approaches require understanding the local anatomy because the forearm contains a number of neurovascular structures at risk during exposure. There are three clinically relevant surgical exposures for the…
Introduction Few joints require familiarity with as many surgical exposures as does the elbow. Depending on the lesion and the surgical goal, the joint and the surrounding region may be approached from the lateral, posterior, medial, or anterior direction. It…
Introduction Occasionally, it becomes necessary to perform extensile surgical exposures to the humerus for trauma, malignancy or revision elbow surgery with periprosthetic fracture, or severe and significant bone loss where allograft prosthetic composites are planned. In this chapter, we will…