Table 2.

Pearls and Pitfalls of Arthroscopic Management of Synovial Osteochondromatosis of the Elbow

Pearls	Pitfalls
Small loose bodies should be removed before removal of the large ones.	Using the medial portals in case of ulnar subluxation can cause ulnar nerve injury.
Suctioning via the arthroscopic shaver can suck the loose bodies towards the shaver.	The loose body should be firmly grasped before removal to avoid dropping of the loose body in the subcutaneous tissue.
The synovium should be checked for any adherent bodies.
Large loose body can be cut into small pieces before removal.
Debridement of the synovial recess deep to the annular ligament is necessary for complete synovectomy.
The shaver should not be inserted too deep into the synovial recess to avoid injury to the interosseous nerve at the level of radial neck.
Synovectomy at the posteromedial gutter should be done under strict arthroscopic supervision and the suction should be kept to a minimal and the shaver blade should face away from the capsule.