Complications with Elbow Arthroscopy

Introduction

Advancements in elbow arthroscopy have led to an increase in its use. As surgeons have become more familiar with the technique, and instrumentation has become more intuitive, indications for its use are ever expanding. Indications include aiding in diagnosis, debridement for osteoarthritis, loose body removal, synovectomy, irrigation and debridement for septic arthritis, chondroplasty, contracture release, osteochondral lesions, microfracture, lateral epicondylitis treatment, instability, and others.

Because elbow arthroscopy is a technically demanding operation and many neurovascular structures are in close proximity, it is important to have an understanding of the complications that may occur. Kelly et al. published the largest series of patients who underwent elbow arthroscopy and reported a complication rate of 11%. Others have reported complication rates ranging from 0% to 15%. ^, The incidence of complications may be underreported; most reports in the literature reflect the experiences of experienced elbow arthroscopy surgeons. In general, complications can be categorized into minor/transient problems or major/permanent complications.

In this chapter, we describe the complications associated with elbow arthroscopy and discuss strategies for avoiding or minimizing them. Furthermore, we offer recommendations regarding management when these complications occur.

Preoperative Planning to Avoid Complications