CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(01): 056-065
DOI: 10.1055/s-0041-1730394
Update Article | Artículo de Actualización

Arthroscopy of the Pediatric Elbow: Review of the Current Concepts

Article in several languages: English | español
1  Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
1  Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
1  Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
1  Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
› Author Affiliations

Abstract

As surgeons have become more familiar with elbow arthroscopy, the indications for arthroscopy of the pediatric elbow have expanded to include contracture releases, fracture fixation, treatment of osteochondritis dissecans (OCD) lesions, correction of elbow deformity, and debridement of soft tissue and bony pathologies. The treatment of various pathologies via an arthroscopic approach demonstrates equal, if not better, efficacy and safety as open surgery for the pediatric elbow. Arthroscopy provides the unique advantage of enabling the performance of extensive surgeries through a minimally-invasive approach, and it facilitates staged interventions in cases of increased complexity. For fracture work, arthroscopy enables direct visualization to assess reduction for percutaneous fixations. While future research is warranted to better evaluate the indications and outcomes of pediatric elbow arthroscopy, this update article presents a review of the current literature, as well as several innovative cases highlighting the potential of arthroscopy.

Resumen

A medida que los cirujanos se han familiarizado con la artroscopia del codo, las indicaciones para la artroscopia del codo pediátrico se han ampliado para incluir la liberación de contracturas, la fijación de fracturas, el tratamiento de lesiones de osteocondritis disecante (OCD), la corrección de la deformidad del codo, y el desbridamiento de patologías óseas y de tejidos blandos. El tratamiento de diversas patologías mediante un abordaje artroscópico demuestra la misma eficacia y seguridad, si no mejor, que la cirugía abierta del codo pediátrico. La artroscopia proporciona la ventaja única de permitir la realización cirugías extensas a través de un abordaje mínimamente invasivo, y facilita las intervenciones por etapas en casos de mayor complejidad. Para las fracturas, la artroscopia permite la visualización directa para evaluar la reducción de las fijaciones percutáneas. Si bien se justifica la investigación futura para evaluar mejor las indicaciones y los resultados de la artroscopia del codo pediátrico, este artículo de actualización presenta una revisión de la literatura actual y varios casos innovadores que destacan el potencial de la artroscopia.



Publication History

Received: 03 March 2021

Accepted: 08 March 2021

Publication Date:
02 July 2021 (online)

© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil