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What is Elbow Arthroscopy? When is it Performed?

The elbow joint is a complex structure made of bone, cartilage, ligaments, and muscles. For the diagnosis and treatment of problems that develop within these structures, elbow arthroscopy, a minimally invasive surgical method, is being used increasingly often today. Arthroscopy is a closed (keyhole) surgery performed by entering the joint with a special camera and micro-surgical instruments through incisions that are just a few millimeters long.

Elbow arthroscopy can be applied for both diagnostic and therapeutic purposes. It offers the opportunity to view the inside of the joint in a magnified way, which allows for the detailed evaluation and repair of problematic structures. It is performed with much less tissue damage compared to open surgery, which speeds up the recovery time and reduces the risk of complications.

Thanks to this method, a wide variety of problems related to the elbow joint can be treated safely and effectively. The success rate is quite high with correct patient selection, appropriate indications (valid medical reasons for the procedure), and an experienced surgical approach.

When is Elbow Arthroscopy Performed?

Elbow arthroscopy can be applied in the diagnosis and treatment of the following conditions:

  • Elbow range of motion limitations (joint stiffness, contractures)
  • Loose bodies (cartilage or bone fragments floating inside the joint)
  • Intra-articular adhesions (scar tissue) and synovitis (inflammation and thickening of the joint lining)
  • Tendinopathies (especially conditions like tennis or golfer’s elbow)
  • Removal of bone spurs (osteophytes) that develop after a fracture
  • Elbow locking or a catching sensation
  • Diagnosis and treatment of intra-articular infections
  • Radiocapitellar impingement (a type of pinching syndrome in the elbow)


In such cases, if improvement is not achieved with physical therapy and medical treatments, arthroscopic surgery is recommended.

Surgery Duration: Approximately 45–90 minutes

Type of Anesthesia: General anesthesia and/or a nerve block

Surgical Method: Closed (arthroscopic), performed through 2–4 small incisions

First day: 3–4 (1–2 if a nerve block is administered)

First week: 2–3

After the 2nd week: 1

Usually discharged the same day

If necessary, a 1-night hospital stay may be required

First 1 week: The elbow is protected with a bandage; finger movements are free

From the 2nd week: Gradual range of motion exercises

3rd–4th week: Transition to active movements

6th–8th week: Return to daily life

3rd month: Return to sports or heavy use

First dressing change on the 2nd day

Wound check in the 1st week

Suture removal (if any): 10th day

Frequenly Asked Questions

Technically, it is a challenging joint, but it can be performed safely by experienced surgeons and can be considered a straightforward surgical procedure. Special attention is required due to the small joint volume.

Finger movements are usually started immediately. Controlled elbow movements, however, are typically initiated from the 1st week.

No. Because the arthroscopic incisions are very small, they do not leave a cosmetically significant scar.

The elbow joint is sensitive regarding its range of motion. The results are very successful in patients who comply with the prescribed exercises. Separate, formal physical therapy is rarely required.

Although recovery varies depending on the procedure performed, a return to daily life is possible for most patients within 3–6 weeks.