title: Evidence-based indications for elbow arthroscopy.
abstract: OBJECTIVE
  The purpose was to review the literature on the outcomes of elbow arthroscopy and to make evidence-based recommendations for or against elbow arthroscopy for the treatment of various conditions. Our hypothesis was that the evidence would support the use of elbow arthroscopy in the management of common elbow conditions.
  
  
  METHODS
  A literature search was performed by use of the PubMed database in October 2010. All therapeutic studies investigating the results of treatment with elbow arthroscopy were analyzed for outcomes and complications. The literature specific to common elbow arthroscopy indications was summarized and was assigned a grade of recommendation based on the available evidence.
  
  
  RESULTS
  There is fair-quality evidence for elbow arthroscopy in the treatment of rheumatoid arthritis of the elbow and lateral epicondylitis (grade B recommendation). There is poor-quality evidence for, rather than against, the arthroscopic treatment of degenerative arthritis, osteochondritis dissecans, radial head resection, loose bodies, post-traumatic arthrofibrosis, posteromedial impingement, excision of a plica, and fractures of the capitellum, coronoid process, and radial head (grade C(f) recommendation). There is insufficient evidence to give a recommendation for or against the arthroscopic treatment of posterolateral rotatory instability and septic arthritis (grade I recommendation).
  
  
  CONCLUSIONS
  The available evidence supports the use of elbow arthroscopy in the management of the majority of conditions where it is currently used. The quality of the evidence, however, is generally fair to poor.
  
  
  METHODS
  Level IV, systematic review of Level II-IV studies.
authors.affiliation: Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.
authors.forename: Kwan M
authors.initials: KM
authors.lastname: Yeoh
authors.forename: Graham J W
authors.initials: GJ
authors.lastname: King
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Faber
authors.forename: Mark A
authors.initials: MA
authors.lastname: Glazebrook
authors.forename: George S
authors.initials: GS
authors.lastname: Athwal
mesh_terms: D001182:Arthroscopy; D004551:Elbow Joint / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*