Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal

Arthroscopic elbow surgery is a challenging procedure in part because of the limited intra-articular volume of the joint, the congruence of the elbow articulation, and the close proximity of the neurovascular structures. Arthritic conditions that result in the development of bony prominences and ost...

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Main Authors: Wesley S. Greer, M.D., Adam C. Field, B.S., Larry D. Field, M.D.
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628718301051
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author Wesley S. Greer, M.D.
Adam C. Field, B.S.
Larry D. Field, M.D.
author_facet Wesley S. Greer, M.D.
Adam C. Field, B.S.
Larry D. Field, M.D.
author_sort Wesley S. Greer, M.D.
collection DOAJ
description Arthroscopic elbow surgery is a challenging procedure in part because of the limited intra-articular volume of the joint, the congruence of the elbow articulation, and the close proximity of the neurovascular structures. Arthritic conditions that result in the development of bony prominences and osteophytes are usually amenable to arthroscopic management and include diagnoses such as osteoarthritis, rheumatoid arthritis, and valgus extension overload syndrome. Safe and efficient removal of these osteophytes can be problematic, however, because of technical difficulties often encountered while using arthroscopic burrs and shavers as well as the risks of inadvertent, iatrogenic injury to adjacent articular cartilage and other structures. A valuable and effective technique using small handheld osteotomes to facilitate the arthroscopic removal of intra-articular osteophytes and other bony prominences is described and shown.
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spelling doaj.art-fe3844795e3948dda3efb3bfcf6388602022-12-21T22:52:37ZengElsevierArthroscopy Techniques2212-62872018-10-01710e1031e1035Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte RemovalWesley S. Greer, M.D.0Adam C. Field, B.S.1Larry D. Field, M.D.2Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Address correspondence to Larry D. Field, M.D., Mississippi Sports Medicine and Orthopaedic Center, 1325 East Fortification Street, Jackson, MS 39202, U.S.A.; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Arthroscopic elbow surgery is a challenging procedure in part because of the limited intra-articular volume of the joint, the congruence of the elbow articulation, and the close proximity of the neurovascular structures. Arthritic conditions that result in the development of bony prominences and osteophytes are usually amenable to arthroscopic management and include diagnoses such as osteoarthritis, rheumatoid arthritis, and valgus extension overload syndrome. Safe and efficient removal of these osteophytes can be problematic, however, because of technical difficulties often encountered while using arthroscopic burrs and shavers as well as the risks of inadvertent, iatrogenic injury to adjacent articular cartilage and other structures. A valuable and effective technique using small handheld osteotomes to facilitate the arthroscopic removal of intra-articular osteophytes and other bony prominences is described and shown.http://www.sciencedirect.com/science/article/pii/S2212628718301051
spellingShingle Wesley S. Greer, M.D.
Adam C. Field, B.S.
Larry D. Field, M.D.
Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
Arthroscopy Techniques
title Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
title_full Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
title_fullStr Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
title_full_unstemmed Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
title_short Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
title_sort handheld osteotomes facilitate arthroscopic elbow osteophyte removal
url http://www.sciencedirect.com/science/article/pii/S2212628718301051
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