HYPOTHESIS: Evaluate the effectiveness of arthroscopic treatment of posterior impingement in the athletes elbow. MATERIALS AND METHODS: 16 elbows were included. An arthroscopic debridement of the posterior fossa of the elbow was performed. All Patients were evaluated preoperatively and after an average of 38 (30-53) months using range of motion, the Modified Andrews Elbow Scoring System (MAESS), VAS in rest and after provocation. RESULTS: The average flexion increased from 138 degrees to 140 degrees . The extension deficit of 8 degrees preoperatively increased to a deficit of average 2 degrees (P < 0.05). The MAESS increased from average preoperative to excellent postoperative (P < 0.05). The average VAS in rest decreased from 3 to 0 and during sporting activities the VAS decreased from 7 to 2 (P < 0.05). DISCUSSION AND CONCLUSION: In this series, arthroscopic debridement of the posterior fossa in athletes with posterior impingement is a procedure that showed excellent mid term results and can therefore be recommended. LEVEL OF EVIDENCE: Level 4; Retrospective case series, no control group.
HYPOTHESIS: Evaluate the effectiveness of arthroscopic treatment of posterior impingement in the athletes elbow. MATERIALS AND METHODS: 16 elbows were included. An arthroscopic debridement of the posterior fossa of the elbow was performed. All Patients were evaluated preoperatively and after an average of 38 (30-53) months using range of motion, the Modified Andrews Elbow Scoring System (MAESS), VAS in rest and after provocation. RESULTS: The average flexion increased from 138 degrees to 140 degrees . The extension deficit of 8 degrees preoperatively increased to a deficit of average 2 degrees (P < 0.05). The MAESS increased from average preoperative to excellent postoperative (P < 0.05). The average VAS in rest decreased from 3 to 0 and during sporting activities the VAS decreased from 7 to 2 (P < 0.05). DISCUSSION AND CONCLUSION: In this series, arthroscopic debridement of the posterior fossa in athletes with posterior impingement is a procedure that showed excellent mid term results and can therefore be recommended. LEVEL OF EVIDENCE: Level 4; Retrospective case series, no control group.
Authors: Jason L Koh; Brad A Zwahlen; David W Altchek; Todd A Zimmerman Journal: Knee Surg Sports Traumatol Arthrosc Date: 2017-05-22 Impact factor: 4.342
Authors: James F Stenson; Quincy T Cheesman; Jacob M Kirsch; Christopher L Antonacci; Frank G Alberta; Luke S Austin Journal: Arthrosc Sports Med Rehabil Date: 2021-07-16