The elbow joints are often involved in rheumatoid arthritis but it has been suggested that such involvement is not commonly a major cause of disability in the upper limb (Merle d’Aubign#{233} and Delbarre 1969, Torgerson and Leach 1970). It is perhaps this belief that has led to the relatively infrequent use ofoperative treatment for rheumatoid arthritis ofthe elbow, except as a late “salvage” ...

Local anesthesia for knee arthroscopy is a well documented procedure with diagnostic and therapeutic role. Numerous therapeutic procedures including partial menisectomy, meniscus repair, abrasion chondroplasy, synovectomy, loose body removal can be performed safely and comfortably. Appropriate case selection, anesthetic strategy and technical expertise are the key to smooth and successful surgery.