case_images: PMC3508532_01
case_images: Clinical photograph showing portals for elbow arthroscopy.
case_images: CRIM.ORTHOPEDICS2012-478214.001.jpg
case_images: PMC3508532_01_CRIM.ORTHOPEDICS2012-478214.001.jpg
case_images: fig1
case_images: By using direct lateral portal (Figure 1) in anconeus triangle as the viewing portal, radiocapitellar joint, radial head, proximal radioulnar joint, and coronoid process were visualized. posterolateral and accessory posterolateral portal and direct posterior portals were used to assess the posterior joint and olecranon fossa.
case_images: (a)-(b) Photographs showing grade 3 chondral defect on the articular surface of radial head. (c) Photograph showing microfracture following the debridement of the loose cartilage flap.
case_images: CRIM.ORTHOPEDICS2012-478214.002.jpg
case_images: PMC3508532_01_CRIM.ORTHOPEDICS2012-478214.002.jpg
case_images: fig2
case_images: Radial head was found to have a well-defined chondral defect ICRS grade 3 (Figure 2(a)). The chondral defect was debrided and microfracture; abrasion chondroplasty with thermal chondroplasty was done (Figure 2(b)).
case_images: (a)-(d) Clinical photographs of the patient showing ROM at the final followup.
case_images: CRIM.ORTHOPEDICS2012-478214.003.jpg
case_images: PMC3508532_01_CRIM.ORTHOPEDICS2012-478214.003.jpg
case_images: fig3
case_images: Patient regained full painless range of motion of the elbow at the end of 6 weeks, which was maintained at the final followup (Figures 3(a)-3(d)).
case_images: (a) Synovitis in the radiocapitellar joint. (b) Grade 2 chondral lesion on the trochlea. (c) Debridement and abrasion chondroplasty of the lesion with a shaver.
case_images: CRIM.ORTHOPEDICS2012-478214.004.jpg
case_images: PMC3508532_01_CRIM.ORTHOPEDICS2012-478214.004.jpg
case_images: fig4
case_images: There was diffuse synovitis of elbow (Figure 4(a)). A well-defined chondral lesion ICRS grade 2 over the trochlea was detected (Figure 4(b)). The defect was debrided and abrasion chondroplasty (Figure 4(c)) with subtotal synovectomy was done.
case_images: (a)-(d) Clinical photographs of the patient showing ROM at final followup.
case_images: CRIM.ORTHOPEDICS2012-478214.005.jpg
case_images: PMC3508532_01_CRIM.ORTHOPEDICS2012-478214.005.jpg
case_images: fig5
case_images: At the final followup after 18 months of surgery, the patient had painless range of motion from 10 to 130 degrees and painless full supination and pronation of elbow (Figures 5(a)-5(d)).