Thirty-four patients had one or more loose bodies in the elbow that were extracted arthroscopically in 33, with a small arthrotomy in one. The pain was improved in 85% of patients, locking in 92%, and swelling in 71% of the patients. The number of flexion contractures was reduced from 14 to 5. However, crepitus was improved in only 47% of patients. Overall, 89% of patients had significant improvement by the arthroscopic procedure. There were two transient symptoms of numbness of the forearm but no permanent complications. Overall, arthroscopic removal of loose bodies from the elbow was a successful procedure, and the posterior portals should be used in all cases.