Contractures of the elbow may be successfully managed by arthroscopic techniques. Complete anterior capsularrelease, olecranon fossa fenestration, triceps elevation, medial and lateral gutter debridement and removal of excess bone can restore near normal motion in a majority of patients. Fifty-three patients managed by this technique improved their range of motion from an arc of 46° to 96° to an arc of 5° to 138°. One patient sustained an injury to the posterior interosseous nerve. The inferior aspect of the anterolateral capsule should be completely avoided to prevent this complication. Arthroscopic release, although technically demanding, provides satisfactory results in a majority of patients.