Arthroscopic diagnosis and treatment of intra-articular injuries of the elbow joint in children

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Abstract

Experience in elbow arthroscopy in children (36 patients, 5-16 years) was presented in native literature for the first time. Diagnostic arthroscopy was performed in 4 cases, diagnostic arthroscopy + miniarthrotomy — in 3 cases, diagnostic and operative arthroscopy — in 29 cases. Comparative assessment of radiologic, ultrasound, CT and arthroscopic data showed evident preference of arthroscopy for the diagnosis of intra-articular elbow injuries in children. Main and additional portals decreasing the probability of neurovascular structure injury were suggested. The technique of diagnostic and operative arthroscopy was determined. The indications for the elbow arthroscopy in children were defined. In 91.7% of patients the positive outcomes with complete or almost complete restoration of elbow function were achieved.

About the authors

A. S. Ilyin

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. N. Merkulov

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

A. K. Morozov

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

N. A. Eskin

Central Institute of Traumatology and Orthopedics. N.N. Priorov

Email: info@eco-vector.com
Russian Federation, Moscow

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1. JATS XML
2. Rice. 1. Position of the patient on the operating table.

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3. Rice. 2. Marking of articular structures

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4. Fig.3. Elbow puncture.

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5. Fig.4. Insertion of a blunt trocar

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6. Fig.5. Basic (1, 2, 3, 4) and additional (5, 6) arthroscopic approaches.

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7. Rice. 6. Removal of intraarticular bodies.

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8. Rice. 7. Shaving of the articular surface.

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9. Rice. 8. Excision of post-traumatic adhesions.

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