ABSTRACT
Arthroscopy of the elbow was initially described by Burman (1) in 1931 when he described the elbow joint as “unsuitable for examination.” A year later, he revised his thoughts, but his initial writings emphasize similar problems that remain for orthopedic surgeons today with elbow arthroscopy, most notably the risk of neurovascular injury and the difficulty examining small spaces within the elbow. Fortunately, our technology has improved as well as our knowledge of relevant anatomy. With these advances, elbow arthroscopy has become more widely accepted. It is currently a viable and effective option for much intra-articular pathology, and indications for this procedure continue to expand. However, the learning curve remains steep. The elbow is a complex articulation and allows for only a small working space. Neurovascular structures are in close proximity and at significant risk for injury. Critically important as knowing the anatomy is also managing arthroscopic operative time efficiently. During this procedure, one is working with a tourniquet, and swelling in an already small space puts a premium on surgical speed. A strong working knowledge of the anatomy of the elbow is crucial so that a safe and efficient procedure can be accomplished.
