Therapeutic Advances
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2017; 8(2): 99-106
Published online Feb 18, 2017. doi: 10.5312/wjo.v8.i2.99
Tips to avoid nerve injury in elbow arthroscopy
Nick F J Hilgersom, Luke S Oh, Mark Flipsen, Denise Eygendaal, Michel P J van den Bekerom
Nick F J Hilgersom, Denise Eygendaal, Department of Orthopaedics, Academic Medical Centre, 1105 AZ, Amsterdam, The Netherlands
Luke S Oh, Department of Orthopaedics, Massachusetts General Hospital, Boston, MA 02035, United States
Mark Flipsen, Michel P J van den Bekerom, Department of Orthopaedics, Onze Lieve Vrouwe Gasthuis, 1091 AC, Amsterdam, The Netherlands
Author contributions: Hilgersom NFJ drafted the manuscript; Oh LS, Eygendaal D and van den Bekerom MPJ provided expert knowledge on elbow arthroscopy; Oh LS, Flipsen M and Eygendaal D provided feedback on the manuscript; Flipsen M provided the figures; van den Bekerom MPJ helped draft the manuscript; all authors read and approved the final manuscript.
Conflict-of-interest statement: Hilgersom NFJ, Oh LS and Flipsen M have no conflicts of interest or financial ties to disclose. Eygendaal D has received travel expenses from the ESSKA board and fees for serving as a consultant for Lima Elbow System and as a speaker for the AO foundation. van den Bekerom MPJ has received an enabling grant from Smith and Nephew for research in rotator cuff surgery and research funding from Tornier.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nick FJ Hilgersom, MD, Department of Orthopaedics, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. n.f.hilgersom@amc.uva.nl
Telephone: +31-20-5663374 Fax: +31-20-5669117
Received: September 14, 2016
Peer-review started: September 18, 2016
First decision: October 21, 2016
Revised: November 10, 2016
Accepted: November 27, 2016
Article in press: November 29, 2016
Published online: February 18, 2017
Abstract

Elbow arthroscopy is a technical challenging surgical procedure because of close proximity of neurovascular structures and the limited articular working space. With the rising number of elbow arthroscopies being performed nowadays due to an increasing number of surgeons performing this procedure and a broader range of indications, a rise in complications is foreseen. With this editorial we hope to create awareness of possible complications of elbow arthroscopy, particularly nerve injuries, and provide a guideline to avoid complications during elbow arthroscopy.

Keywords: Elbow, Arthroscopy, Complications, Nerve injury, Education, Preventive strategies

Core tip: Elbow arthroscopy is a technical challenging surgical procedure because of close proximity of neurovascular structures and the limited articular working space. With the rising number of elbow arthroscopies being performed nowadays due to an increasing number of surgeons performing this procedure and a broader range of indications, a rise in complications is foreseen. With this editorial we hope to create awareness of possible complications of elbow arthroscopy, particularly nerve injuries, and provide a guideline to avoid complications during elbow arthroscopy.