PMC3508532_01
Clinical photograph showing portals for elbow arthroscopy.
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fig1
By using direct lateral portal (Figure 1) in anconeus triangle as the viewing portal, radiocapitellar joint, radial head, proximal radioulnar joint, and coronoid process were visualized. posterolateral and accessory posterolateral portal and direct posterior portals were used to assess the posterior joint and olecranon fossa.
(a)-(b) Photographs showing grade 3 chondral defect on the articular surface of radial head. (c) Photograph showing microfracture following the debridement of the loose cartilage flap.
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fig2
Radial head was found to have a well-defined chondral defect ICRS grade 3 (Figure 2(a)). The chondral defect was debrided and microfracture; abrasion chondroplasty with thermal chondroplasty was done (Figure 2(b)).
(a)-(d) Clinical photographs of the patient showing ROM at the final followup.
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fig3
Patient regained full painless range of motion of the elbow at the end of 6 weeks, which was maintained at the final followup (Figures 3(a)-3(d)).
(a) Synovitis in the radiocapitellar joint. (b) Grade 2 chondral lesion on the trochlea. (c) Debridement and abrasion chondroplasty of the lesion with a shaver.
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fig4
There was diffuse synovitis of elbow (Figure 4(a)). A well-defined chondral lesion ICRS grade 2 over the trochlea was detected (Figure 4(b)). The defect was debrided and abrasion chondroplasty (Figure 4(c)) with subtotal synovectomy was done.
(a)-(d) Clinical photographs of the patient showing ROM at final followup.
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fig5
At the final followup after 18 months of surgery, the patient had painless range of motion from 10 to 130 degrees and painless full supination and pronation of elbow (Figures 5(a)-5(d)).