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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

Artikel in mehreren Sprachen: English | español
Ryan Xiao 
1   Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
Carl Cirino 
1   Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
Christine Williams 
1   Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
,
Michael Hausman 
1   Leni and Peter W. May Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, United Sates
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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.

Keywords

pediatric - elbow - arthroscopy - osteochondritis dissecans - lateral condyle


Publikationsverlauf

Eingereicht: 03. März 2021

Angenommen: 08. März 2021

Artikel online veröffentlicht:
02. Juli 2021

© 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/)

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  • References

  • 1 Burman MS. Arthroscopy or the direct visualization of joints: an experimental cadaver study. 1931. Clin Orthop Relat Res 2001; (390) 5-9
    CrossrefPubMedGoogle Scholar
  • 2 Micheli LJ, Luke AC, Mintzer CM, Waters PM. Elbow arthroscopy in the pediatric and adolescent population. Arthroscopy 2001; 17 (07) 694-699
    CrossrefPubMedGoogle Scholar
  • 3 Vavken P, Müller AM, Camathias C. First 50 Pediatric and Adolescent Elbow Arthroscopies: Analysis of Indications and Complications. J Pediatr Orthop 2016; 36 (04) 400-404
    CrossrefPubMedGoogle Scholar
  • 4 Kelly EW, Morrey BF, O'Driscoll SW. Complications of elbow arthroscopy. J Bone Joint Surg Am 2001; 83 (01) 25-34
    CrossrefPubMedGoogle Scholar
  • 5 Marti D, Spross C, Jost B. The first 100 elbow arthroscopies of one surgeon: analysis of complications. J Shoulder Elbow Surg 2013; 22 (04) 567-573
    CrossrefPubMedGoogle Scholar
  • 6 Intravia J, Acevedo DC, Chung WJ, Mirzayan R. Complications of Elbow Arthroscopy in a Community-Based Practice. Arthroscopy 2020; 36 (05) 1283-1290
    CrossrefPubMedGoogle Scholar
  • 7 Andelman SM, Meier KM, Walsh AL, Kim JH, Hausman MR. Pediatric elbow arthroscopy: indications and safety. J Shoulder Elbow Surg 2017; 26 (10) 1862-1866
    CrossrefPubMedGoogle Scholar
  • 8 Hausman MR, Qureshi S, Goldstein R. et al. Arthroscopically-assisted treatment of pediatric lateral humeral condyle fractures. J Pediatr Orthop 2007; 27 (07) 739-742
    CrossrefPubMedGoogle Scholar
  • 9 Park JY, Yoo HY, Chung SW. et al. Valgus extension overload syndrome in adolescent baseball players: clinical characteristics and surgical outcomes. J Shoulder Elbow Surg 2016; 25 (12) 2048-2056
    CrossrefPubMedGoogle Scholar
  • 10 Matsuura T, Iwame T, Suzue N. et al. Clinical Outcome of Arthroscopic Treatment for Posteromedial Elbow Impingement in Adolescent Baseball Players. Arthroscopy 2018; 34 (01) 105-110
    CrossrefPubMedGoogle Scholar
  • 11 Kang MS, Alfadhil RA, Park SS. Outcomes of arthroscopy-assisted closed reduction and percutaneous pinning for a displaced pediatric lateral condylar humeral fracture. J Pediatr Orthop 2019; 39 (07) e548-e551
    CrossrefPubMedGoogle Scholar
  • 12 Yoo JS, Kim SJ, Jung JU, Seo JB. Proper elbow arthroscopy portal placement in pediatric and adolescent patients. J Orthop 2018; 15 (02) 455-458
    CrossrefPubMedGoogle Scholar
  • 13 Fink Barnes LA, Parsons BO, Hausman M. Arthroscopic management of elbow fractures. Hand Clin 2015; 31 (04) 651-661
    CrossrefPubMedGoogle Scholar
  • 14 Mih AD, Wolf FG. Surgical release of elbow-capsular contracture in pediatric patients. J Pediatr Orthop 1994; 14 (04) 458-461
    CrossrefPubMedGoogle Scholar
  • 15 Stans AA, Maritz NG, O'Driscoll SW, Morrey BF. Operative treatment of elbow contracture in patients twenty-one years of age or younger. J Bone Joint Surg Am 2002; 84 (03) 382-387
    CrossrefPubMedGoogle Scholar
  • 16 Kodde IF, van Rijn J, van den Bekerom MPJ, Eygendaal D. Surgical treatment of post-traumatic elbow stiffness: a systematic review. J Shoulder Elbow Surg 2013; 22 (04) 574-580
    CrossrefPubMedGoogle Scholar
  • 17 Gouveia K, Zhang K, Kay J. et al. The use of elbow arthroscopy for management of the pediatric elbow: a systematic review of indications and outcomes. Arthroscopy 2021; S0749–8063 (21) 00064-00065
    PubMedGoogle Scholar
  • 18 Nowotny J, Löbstein S, Biewener A, Fitze G, Kasten P. Elbow arthroscopy in children and adolescents: analysis of outcome and complications. Eur J Med Res 2018; 23 (01) 42-50
    CrossrefPubMedGoogle Scholar
  • 19 Andelman SM, Walsh AL, Sochol KM, Rubenstein WM, Hausman MR. Arthroscopic contracture release in the pediatric patient. J Pediatr Orthop 2018; 38 (09) e507-e513
    CrossrefPubMedGoogle Scholar
  • 20 Ackerson R, Nguyen A, Carry PM, Pritchard B, Hadley-Miller N, Scott F. Intra-articular radial head fractures in the skeletally immature patient: complications and management. J Pediatr Orthop 2015; 35 (05) 443-448
    CrossrefPubMedGoogle Scholar
  • 21 Koehler SM, Sakamoto S, Abernathie BL, Hausman MR. Arthroscopic correction of a supracondylar malunion in a child. Arthrosc Tech 2015; 4 (03) e215-e221
    CrossrefPubMedGoogle Scholar
  • 22 Perez Carro L, Golano P, Vega J. Arthroscopic-assisted reduction and percutaneous external fixation of lateral condyle fractures of the humerus. Arthroscopy 2007; 23 (10) 1131.e1-1131.e4
    CrossrefPubMedGoogle Scholar
  • 23 Temporin K, Namba J, Okamoto M, Yamamoto K. Diagnostic arthroscopy in the treatment of minimally displaced lateral humeral condyle fractures in children. Orthop Traumatol Surg Res 2015; 101 (05) 593-596
    CrossrefPubMedGoogle Scholar
  • 24 Foster DE, Sullivan JA, Gross RH. Lateral humeral condylar fractures in children. J Pediatr Orthop 1985; 5 (01) 16-22
    CrossrefPubMedGoogle Scholar
  • 25 Shaerf DA, Vanhegan IS, Dattani R. Diagnosis, management and complications of distal humerus lateral condyle fractures in children. Shoulder Elbow 2018; 10 (02) 114-120
    CrossrefPubMedGoogle Scholar
  • 26 Mirsky EC, Karas EH, Weiner LS. Lateral condyle fractures in children: evaluation of classification and treatment. J Orthop Trauma 1997; 11 (02) 117-120
    CrossrefPubMedGoogle Scholar
  • 27 Marzo JM, d'Amato C, Strong M, Gillespie R. Usefulness and accuracy of arthrography in management of lateral humeral condyle fractures in children. J Pediatr Orthop 1990; 10 (03) 317-321
    CrossrefPubMedGoogle Scholar
  • 28 Murthy PG, Vuillermin C, Naqvi MN, Waters PM, Bae DS. Capitella fracture in children and adolescents: classification and early results of treatment. J Bone Joint Surg Am 2017; 99 (15) 1282-1290
    CrossrefPubMedGoogle Scholar
  • 29 Kim HT, Lee JS, Yoo CI. Management of cubitus varus and valgus. J Bone Joint Surg Am 2005; 87 (04) 771-780
    CrossrefPubMedGoogle Scholar
  • 30 Miyake J, Masatomi T. Arthroscopic debridement of the humeral capitellum for osteochondritis dissecans: radiographic and clinical outcomes. J Hand Surg Am 2011; 36 (08) 1333-1338
    CrossrefPubMedGoogle Scholar
  • 31 Jones KJ, Wiesel BB, Sankar WN, Ganley TJ. Arthroscopic management of osteochondritis dissecans of the capitellum: mid-term results in adolescent athletes. J Pediatr Orthop 2010; 30 (01) 8-13
    CrossrefPubMedGoogle Scholar
  • 32 Takeba J, Takahashi T, Watanabe S. et al. Short-term clinical results of arthroscopic osteochondral fixation for elbow osteochondritis dissecans in teenaged baseball players. J Shoulder Elbow Surg 2015; 24 (11) 1749-1756
    CrossrefPubMedGoogle Scholar
  • 33 Tis JE, Edmonds EW, Bastrom T, Chambers HG. Short-term results of arthroscopic treatment of osteochondritis dissecans in skeletally immature patients. J Pediatr Orthop 2012; 32 (03) 226-231
    CrossrefPubMedGoogle Scholar
  • 34 Labelle H, Bunnell WP, Duhaime M, Poitras B. Cubitus varus deformity following supracondylar fractures of the humerus in children. J Pediatr Orthop 1982; 2 (05) 539-546
    CrossrefPubMedGoogle Scholar
  • 35 Hyatt BT, Schmitz MR, Rush JK. Complications of Pediatric Elbow Fractures. Orthop Clin North Am 2016; 47 (02) 377-385
    CrossrefPubMedGoogle Scholar
  • 36 Rubin G, Orbach H, Bor N, Rozen N. Tardy Ulnar Nerve Palsy. J Am Acad Orthop Surg 2019; 27 (19) 717-725
    CrossrefPubMedGoogle Scholar
  • 37 Abe M, Ishizu T, Morikawa J. Posterolateral rotatory instability of the elbow after posttraumatic cubitus varus. J Shoulder Elbow Surg 1997; 6 (04) 405-409
    CrossrefPubMedGoogle Scholar
  • 38 Davids JR, Maguire MF, Mubarak SJ, Wenger DR. Lateral condylar fracture of the humerus following posttraumatic cubitus varus. J Pediatr Orthop 1994; 14 (04) 466-470
    CrossrefPubMedGoogle Scholar
  • 39 Takahara M, Sasaki I, Kimura T, Kato H, Minami A, Ogino T. Second fracture of the distal humerus after varus malunion of a supracondylar fracture in children. J Bone Joint Surg Br 1998; 80 (05) 791-797
    CrossrefPubMedGoogle Scholar
  • 40 Solfelt DA, Hill BW, Anderson CP, Cole PA. Supracondylar osteotomy for the treatment of cubitus varus in children: a systematic review. Bone Joint J 2014; 96-B (05) 691-700
    CrossrefPubMedGoogle Scholar
  • 41 Oppenheim WL, Clader TJ, Smith C, Bayer M. Supracondylar humeral osteotomy for traumatic childhood cubitus varus deformity. Clin Orthop Relat Res 1984; (188) 34-39
    PubMedGoogle Scholar
  • 42 Journeycake JM, Miller KL, Anderson AM, Buchanan GR, Finnegan M. Arthroscopic synovectomy in children and adolescents with hemophilia. J Pediatr Hematol Oncol 2003; 25 (09) 726-731
    CrossrefPubMedGoogle Scholar
  • 43 Dunn AL, Busch MT, Wyly JB, Sullivan KM, Abshire TC. Arthroscopic synovectomy for hemophilic joint disease in a pediatric population. J Pediatr Orthop 2004; 24 (04) 414-426
    CrossrefPubMedGoogle Scholar