AANA25 Wrist & Elbow Access Pass-CONCURRENT SESSION 2D: Elbow and Wrist: Inside and Out

Video Transcription

Video Summary

The session covered advanced arthroscopic techniques for managing various elbow and wrist conditions, featuring international experts. Paolo Aragoni discussed minor lateral elbow instabilities, termed SMILE, highlighting that tendinopathy is a consequence of instability rather than the cause. He emphasized distinguishing between horizontal (proximal radial-ulnar) and vertical (ulnohumeral) instabilities, advocating arthro-CT imaging and a novel Health Pass ultrasound test to diagnose these pathologies. He described his arthroscopic imbrication technique showing favorable outcomes.<br /><br />Derek Papp reviewed elbow arthroscopy for degenerative joint disease, focusing on patient selection, technique, and outcomes. He emphasized symptom management, careful bone and soft tissue debridement, and noted typical improvements in range of motion, though modest.<br /><br />Anand Murthy presented arthroscopic treatment of capitellum osteochondritis dissecans, stressing classification, portal techniques, and microfracture or graft procedures based on lesion stability. Early motion and cartilage mapping MRI are important for recovery.<br /><br />Luke O summarized posterolateral rotatory instability (PLRI), explaining ligament anatomy and pathomechanics, advocating targeted imaging and timely intervention, including repair or reconstruction.<br /><br />Noah Weiss highlighted the benefits of arthroscopy in distal radius fractures for improved visualization, accurate reduction, and detecting soft tissue injuries, despite mixed evidence on long-term outcomes.<br /><br />Patrick Joyner concluded with arthroscopic olecranon bursectomy, demonstrating a minimally invasive, effective approach with low complication rates compared to open surgery. The session underscored evolving arthroscopic strategies for nuanced diagnosis and treatment of complex elbow and wrist disorders.

Asset Caption

Moderator: Derek F. Papp, M.D., FAANA
Paoo A. Arrigoni, M.D. | Anand Murthi, M.D. | Luke S. Oh, M.D. | Noah D. Weiss, M.D., FAANA

Keywords

arthroscopic techniques

elbow instability

SMILE

arthro-CT imaging

Health Pass ultrasound

degenerative joint disease

osteochondritis dissecans

posterolateral rotatory instability

olecranon bursectomy