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Elbow Arthroscopy

Patrick Vavken, MD, Femke Claessen, MD
Smith and Nephew Endoscopy Laboratory

Diagnostic Elbow Arthroscopy Demonstration on a Cadaver Specimen

Setup/Positioning

  1. Make Anatomic Landmarks, note Medial and Lateral

Portal Placement

  1. Anteromedial (Starting Portal)
  2. Proximal Anterolateral Portal
  3. Soft Spot Portal
  4. Modified Posterolateral Portal

Enter the Joint

  1. Insufflate joint with 20-30cc saline
  2. Entering Anteromedial portal
  3. Entering Proximal anterolateral portal

Diagnostic Arthroscopy

  1. Enter Anterior Compartment and Evaluate:
    • Lateral gutter
    • Capsule evaluation
    • Annular Ligament
  2. Enter Posterior compartment
    • Enter Accessory Posterolateral Portal and Evaluate:
      • Medial Gutter
      • Tristate Area
      • Posterior Capitellum
  3. Enter Accessory Distal Ulna Portal
  4. Demonstrating the Use of Elevator