Arthroscopic resection of the radial head

The authors describe arthroscopic radial head resection in patients with po st-traumatic arthritis after fractures of the radial head or in patients wi th rheumatoid arthritis of the elbow joint, as an expanded indication for e lbow arthroscopy. Arthroscopic radial head resection allows the surgeon to deal with the intrinsic joint pathology as well as with accompanying; sympt oms such as synovitis, capsular contracture, or loose bodies. The portals u sed are the proximal medial, anterolateral, and the midlateral portal. The anterior three quarters of the radial head and 2 to 3 mm of the radial neck are resected with the stone-cutting abrader in the anterolateral portal an d the arthroscope in the proximal medial portal. For resection of the poste rior portion of the radial head, the abrader may be transferred to the midl ateral portal. This permits resection of the remnants of the radial head po steriorly and also at the proximal radioulnar joint. Arthroscopic treatment allows the patient to begin and maintain an aggressive postoperative physi cal therapy program immediately after surgery, thus decreasing the risk of anterior scarring and reoccurring contracture of the capsule of the elbow j oint.