Arthroscopy Techniques (Apr 2025)

Triceps Tendon-Guided Arthroscopic Olecranon Debridement for Posterior Impingement Caused by Degenerative Elbow Osteoarthritis: A Technical Note

  • Patrick Waldron, D.O.,
  • Nicholas R. Williams, M.D.,
  • Alvarho J. Guzman, B.A.,
  • Ethan Vallellanes, B.A.,
  • Kyle Cantave, B.S.,
  • Elisa Chow, B.S.,
  • Devon Chen, B.S.,
  • Ajith Malige, M.D.,
  • James L. Chen, M.D., M.P.H.

DOI
https://doi.org/10.1016/j.eats.2024.103332
Journal volume & issue
Vol. 14, no. 4
p. 103332

Abstract

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Arthroscopic elbow debridement is a viable surgical option for posterior impingement secondary to degenerative elbow osteoarthritis. However, it can be a technically demanding procedure due to the small working space inherent within the elbow joint, limited visualization, and an overall poor understanding of the appropriate amount of bone to debride. This Technical Note describes an arthroscopic posterior compartment elbow debridement using the triceps tendon as a guide for bone resection. In doing so, we present a reproducible technique that can restore adequate joint space, mobility, and function to the patient with degenerative elbow osteoarthritis.