{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:46:45Z","timestamp":1792111605564,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:p>Elbow synovectomy has traditionally been performed using direct visual observation. However, recent advancements in elbow arthroscopy have increased the popularity of arthroscopic synovectomies. This minimally invasive procedure has garnered attention because of its efficacy in halting joint deterioration while minimizing patient discomfort and invasiveness. Conversely, the technical demands of arthroscopic elbow synovectomy pose challenges, often resulting in notable complications, such as nerve damage. Considering the utility of real\u2010time nerve visualization for injury prevention, we suggest the integration of ultrasound guidance during surgery. Ultrasound has emerged as a pivotal tool for preventing nerve injuries, offering real\u2010time visualization of nerves alongside surgical instruments. Using ultrasound\u2010guided portals, surgeons can meticulously navigate the surgical field while safeguarding vital neural structures. Here, we describe an ultrasonography\u2010guided surgical method for creating the portals by confirming the surrounding anatomy.<\/jats:p>","DOI":"10.1002\/atn2.70321","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:14:55Z","timestamp":1792109695000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe Ultrasonography\u2010Assisted Elbow Arthroscopy Technique"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7854-9241","authenticated-orcid":false,"given":"Masato","family":"Nakai","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-1465","authenticated-orcid":false,"given":"Kazuma","family":"Miyatake","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5070-3690","authenticated-orcid":false,"given":"Takahiro","family":"Fujisawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8859-5860","authenticated-orcid":false,"given":"Takuma","family":"Naka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reina","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0755-4095","authenticated-orcid":false,"given":"Kagayaki","family":"Sahara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6676-1190","authenticated-orcid":false,"given":"Yutaka","family":"Inaba","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Yokohama City University  Yokohama Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.2106\/00004623-200203000-00002","article-title":"Arthroscopic synovectomy of the elbow in rheumatoid arthritis","volume":"84","author":"Horiuchi K","year":"2002","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1007\/s00264-022-05320-5","article-title":"A systematic review of elbow arthroscopy complications","volume":"46","author":"Tsenkov T","year":"2022","journal-title":"Int Orthop."},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2106\/00004623-200101000-00004","article-title":"Complications of elbow arthroscopy","volume":"83","author":"Kelly EW","year":"2001","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.jse.2013.09.026","article-title":"Elbow arthroscopy: Early complications and associated risk factors","volume":"23","author":"Nelson GN","year":"2023","journal-title":"J Shoulder Elbow Surg"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.2106\/00004623-199274010-00010","article-title":"Arthroscopy of the elbow. Diagnostic and therapeutic benefits and hazards","volume":"74","author":"O\u2019Driscoll SW","year":"1992","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1007\/s00167-017-4719-z","article-title":"Nerve injuries do occur in elbow arthroscopy","volume":"26","author":"Hilgersom NFJ","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"e1879","DOI":"10.1016\/j.eats.2023.07.001","article-title":"Safe ultrasonography \u2013 Assisted knee posterior transseptal portal creation technique","volume":"12","author":"Fujisawa T","year":"2023","journal-title":"Arthrosc Tech"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"e801","DOI":"10.1016\/j.eats.2023.02.009","article-title":"Application of intraoperative CT\u2010ultrasound fusion imaging in hip endoscopy for treatment of latrogenic impingement due to PILLA screw: A novel surgical technique","volume":"12","author":"Miyatake K","year":"2023","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_10_1","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/j.arthro.2015.11.023","article-title":"Major peripheral nerve injuries after elbow arthroscopy","volume":"32","author":"Desai MJ","year":"2016","journal-title":"Arthroscopy"},{"key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s00167-013-2424-0","article-title":"Elbow arthroscopy in stiff elbow","volume":"22","author":"Pederzini IA","year":"2014","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70321","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70321","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70321","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:14:58Z","timestamp":1792109698000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":10,"alternative-id":["10.1002\/atn2.70321"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70321","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2025-10-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70321"}}