Review Question - QID 217895

A 38-year-old male laborer presents with complaints of worsening left elbow pain. He reports that 14 years prior he sustained a distal humerus fracture that was treated with open reduction and internal fixation of the distal humerus that utilized an olecranon osteotomy following a motor vehicle accident. Radiographs now reveal advanced degenerative changes of the ulnohumeral joint with no intra-articular hardware. Which of the following would serve as a relative contraindication to performing an arthroscopic debridement and capsular release in this patient?