Arthroscopically assisted reduction and internal fixation of select elbow fractures represents a potential alternative to an open approach. Arthroscopy offers the advantages of a minimally invasive procedure with less approach-related morbidity while at the same time providing better evaluation of anatomic fracture reduction and detailed detection of concomitant injuries. Noncomminuted two-part fractures are suitable for arthroscopic fixation. These include Mason type 2 fractures of the radial head, transverse coronoid fractures and Dubberley type 1/2 A fractures of the capitulum and the trochlea, respectively. After temporary reduction with Kirschner wires, internal fixation with headless and cannulated compression screws can be performed. Coronoid tip fractures can alternatively be addressed indirectly by tying the anterior capsule, which attaches to the coronoid, down to the fracture bed using a suture lasso technique. Relevant concomitant injuries have to be identified through a systematic diagnostic arthroscopy and should be addressed if necessary. Currently published case reports and case series concerning arthroscopically assisted fixation of elbow fractures report promising results; clinical data, however, are limited thus far.