Basics of Elbow Arthroscopy.

Carpenter, Melissa L; Vega, Jose F; Haynes, Monique; Khan, Zeeshan A; Villarreal-Espinosa, Juan Bernardo; Murray, Michael J; Verma, Nikhil N · Arthrosc Tech · 2025

expert_opinion · Level V

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Abstract

Elbow arthroscopy can be utilized to treat a variety of elbow pathologies. With recent advancements in arthroscopic technology and our understanding of elbow anatomy, several approaches to elbow arthroscopy have been proposed. However, a "gold-standard" has yet to be defined. In this Technical Note, the authors describe a systematic approach to perform elbow arthroscopy in the lateral decubitus position. Strategic placement of portals reduces the risk of damage to neurovascular structures. Our surgical technique aims to offer a safe, reproducible method for achieving excellent visualization and access to both anterior and posterior compartments, thereby optimizing outcomes and minimizing complications.

Anatomy