Arthroscopic management of loose bodies of the elbow

Advances in equipment and surgical techniques in the past several years have made elbow arthroscopy aneffective and safe alternative in the management of a variety of elbow disorders. The initial indication for the excision of loose bodies remains a common indication for arthroscopy of the elbow. A thorough knowledge of neurovascular anatomy in the elbow is required to safely perform this procedure. Proper portal placement minimizes the risks to the neurovascular structures of the elbow. Indications for arthroscopic surgery include loose bodies, arthritis, osteochondritis dissecans, lateral epicondylitis, instability, and fractures. This article presents the indications and techniques of the management of loose body removal via the arthroscope, including technical tips to avoid complications and to facilitate the surgical procedure with minimal risks.