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Arthroscopic Radial Head Excision
Arthroscopic radial head excision is indicated to manage arthritis and/or deformity about the radiocapitellar joint in which most of the pathology is on the radial head side of the joint, with resultant pain and limitation of motion sufficient to warrant surgery. Evidence suggests that injuries to the lateral column may lead to further deterioration of the entire elbow joint, and radial head excision mitigates that risk. In patients in whom the elbow and forearm ligaments are stable, excision of the radial head is a reasonable treatment option. This chapter reviews the indications, contraindications, and outcomes for arthroscopic radial head excision. Surgical strategies, including appropriate placement and use of arthroscopic portals. Potential risks and short-term and long-term complications of arthroscopic radial head excision are also presented.