Decompression of Bony Impingement

An arthroscopic procedure performed to remove bone spurs that may cause pain and limit elbow range of motion. Two to four small incisions are made around the elbow. An arthroscopic camera and instruments are used to inspect the joint and identify the bone spur. Any soft tissue encompassing the spur is removed and an arthroscopic burr is used to shave it down. Elbow motion is examined with the arthroscope to ensure all areas of impingement are removed.

Decompression of Posterior Elbow Impingement

In this video, a large osteophyte, or bone spur, is causing impingement in the patient’s elbow, making it impossible to gain full extension due to mechanical blockage. In this arthroscopic elbow surgery, Dr. Chen uses a burr to shave down the bone spur, removing it entirely while avoiding the articular surfaces (cartilage). When the surgery is complete, the patient no longer suffers from impingement and can freely and fully extend the elbow.

Common Questions About Arthroscopic Decompression

What is Decompression of bony impingement?

In the elbow often bone spurs develop over time which cause impingement and loss of motion. Removal of these spurs can increase motion and thus "decompress" the elbow.

How is elbow Decompression performed?

Through 3 or 4 small incisions a camera and instruments are introduced into the elbow. A burr is used to remove bone spurs. A shaver is used to remove scar tissue. A heat wand is used to release tight capsular tissue.