The elbow is probably one of the most sensitive human jointin its response to trauma. Thus, one can appreciate the specialimportance of arthroscopy and arthroscopically assisted internalfixation and implant removal in the elbow. Recent investigators have established safe portals of entryinto the elbow joint. Portals for elbow arthroscopy includeanterior portals and posterior portals. As a diagnostic tool, elbow arthroscopy provides informationregarding the presence or absence of loose bodies, the conditionof synovium and intraarticular joint capsule, the quality ofarticular cartilage and any degree of instability. The most common therapeutic indications for elbowarthroscopy are excision of osteochondral loose bodies,treatment of osteochondritis dissecans, synovitis, excision ofmarginal osteophytes, and adjunctive treatment of intraarticularfractures.