Evidence map›Paper›PMID 40823643›Full record

ArticleOrthopaedic journal of sports medicine2025

Visibility During Elbow Arthroscopy Using Needle Arthroscope: A Cadaveric Study.

Sho Yamauchi, Tetsuya Takenaga, Atsushi Tsuchiya, Satoshi Takeuchi, Keishi Takaba, Jumpei Inoue, Tomoya Ono, Kaisei Kuboya, Masahiro Nozaki, Hiroaki Fukushima and 2 more

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sho YamauchiDepartment of Musculoskeletal Sports Medicine, Research and Innovation, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0009-0000-0553-1423
Tetsuya TakenagaDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0002-5717-3514
Atsushi TsuchiyaArthroscopy and Sports Medicine Center, Meitetsu Hospital, Nagoya, Japan.ORCID https://orcid.org/0000-0003-1719-5572
Satoshi TakeuchiDepartment of Orthopedic Surgery, Toyohashi Medical Center, Toyohashi, Japan.ORCID https://orcid.org/0000-0001-9668-7940
Keishi TakabaDepartment of Orthopedic Surgery, Nagoya City University Midori Municipal Hospital, Nagoya, Japan.ORCID https://orcid.org/0000-0002-4349-9978
Jumpei InoueDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0003-3953-5646
Tomoya OnoDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0009-0000-6157-9317
Kaisei KuboyaArthroscopy and Sports Medicine Center, Meitetsu Hospital, Nagoya, Japan.ORCID https://orcid.org/0009-0004-8502-5078
Masahiro NozakiDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Hiroaki FukushimaDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0003-1786-3462
Hideki MurakamiDepartment of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Masahito YoshidaDepartment of Musculoskeletal Sports Medicine, Research and Innovation, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0002-1556-4226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The visibility of the elbow joint during needle arthroscopy with 0° viewing is unknown. Moreover, the surgeon's level of experience required to perform needle arthroscopy with adequate proficiency has not been established. Purpose: To clarify visibility during elbow needle arthroscopy and investigate how the surgeon's experience affects it. Study Design: Descriptive laboratory study. Methods: Twenty elbow specimens from 11 cadavers were used. A 1.9-mm needle arthroscope with a 0º viewing angle was inserted into 4 standard portals (anterolateral [ALP], anteromedial [AMP], lateral [LP], and posterior [PP]) to observe 18 different anatomic landmarks. The procedure was performed by 3 surgeons with >15 years of experience (ME) and 3 surgeons with lesser experience (LE) in elbow arthroscopy, defined as having performed ≤5 procedures. Each examiner evaluated 10 elbows. The observation times of all checkpoints from each portal were recorded and the mean durations compared. Results: The percentage of each structure that was adequately visualized using the ALP and AMP were 100% for each group. Successful visualization of structures through the LP was 100% in the ME group and ranged from 86.7% to 100% in the LE group. Visualization through the PP ranged from 56.7% to 86.7% in the ME group and from 53.3% to 83.3% in the LE group. The percentage of visibility for the posterior aspect of the lateral epicondyle was significantly lower in the ME group (56.7%; Conclusion: The needle arthroscope is a valuable tool for the arthroscopic examination of the anterior joint space and humeroulnar joints; however, visualizing the posterior joint space can be challenging, regardless of the surgeon's experience level. No significant difference was observed in the visibility probability based on experience. Clinical Relevance: The needle arthroscope can be beneficial for the management of elbow diseases in the anterior joint space and humeroulnar joints, regardless of the surgeon's experience level, and enables more precise diagnosis and treatment planning.

Indexed as

elbow arthroscopyelbow jointneedle arthroscopyvisibility

Identifiers

PMID40823643
PMCPMC12357031

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.