Introduction Franz Konig first described osteochondritis dissecans (OCD) lesions in 1887 as an inflammatory response that resulted in the formation of intraarticular loose bodies. We have since learned that OCD lesions do not contain inflammatory cells, but they are responsible…
Introduction Degenerative arthritis of the elbow seems to be growing more common and may be a cause of substantial disability. Although initial treatment is usually nonoperative, the arthritis often progresses and has been historically managed by open measures. Since the…
Introduction Elbow arthroscopy has been utilized increasingly commonly since 1932, when Burman concluded in the Journal of Bone and Joint Surgery that the elbow joint was arthroscopically “unsuitable for examination.” In fact, it has proven to be a valuable tool…
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…