Elbow arthroscopy can be utilized to treat a variety of elbow pathologies. With recent advancements in arthroscopic technology and our understanding of elbow anatomy, several approaches to elbow arthroscopy have been proposed. However, a "gold-standard" has yet to be defined. In this Technical Note, the authors describe a systematic approach to perform elbow arthroscopy in the lateral decubitus position. Strategic placement of portals reduces the risk of damage to neurovascular structures. Our surgical technique aims to offer a safe, reproducible method for achieving excellent visualization and access to both anterior and posterior compartments, thereby optimizing outcomes and minimizing complications.
© 2025 The Authors.