Equis ISSN 2398-2977

Elbow: arthroscopy

Contributor(s): Bud G E Fackelman, Graham Munroe

Introduction

  • Arthroscopy is a useful tool for both diagnosis and treatment of joint lesions   Joint: arthroscopy - overview   but it is a procedure which should only be carried out by specialists in the field.

Uses

  • Diagnostic evaluation of the joint in cases of lameness localized to the elbow joint.
  • Surgical treatment of sepsis of the elbow joint and occasionally osseous cyst-like lesions and osteochondrosis   Elbow: septic arthritis - wound    Elbow: osteoarthritis  .

Advantages

  • Minimally invasive with reduced trauma and fewer complications.
  • Improved visibility.
  • Multiple arthroscopies can be performed in multiple joints on one occasion.
  • Good cosmetic appearance following surgery.
  • Shorter operating time vs. arthrotomy.
  • Reduced convalescence vs. arthrotomy.
  • Better prognosis for return to previous level of performance (and beyond) vs. arthrotomy.

Disadvantages

  • Expensive equipment.
  • High levels of surgical expertise, knowledge and experience of technique required.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends on specific cases.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Nixon A J (2012) Elbow arthroscopy: Indications, approaches and syndromes. Equine Vet Educ 24 (4), 176-181 VetMedResource.
  • Bobkiewicz J J & Hodgson S E (2012) Arthoscopically-assisted removal of an osteochondral fragment from the equine elbow using a caudo-medial approach. Equine Vet Educ 24 (4), 172-175 Wiley Online Library.
  • Nixon A J (1990) Arthroscopic approaches and intra-articular anatomy of the equine elbow. Vet Surg 19 (2), 93-101 PubMed.


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