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Basics of Elbow Arthroscopy

February 10, 2018

Contributors: David W Altchek, MD; Christopher L. Camp, MD; Ryan Degen, FRCSC, MD, MSc; Joshua Dines, MD; Joaquin Sanchez-Sotelo, MD; Venkat Boddapati, BA; Venkat Boddapati, BA

As our knowledge and technology advance, the indications for elbow arthroscopy continue to grow rapidly. During this expansion, a number of new portals have been described and reported using variable nomenclature and location descriptions. Accordingly, a comprehensive review of these portals is warranted. Given the concern for potential iatrogenic injury to surrounding neurovascular structures, discussion of these critical nerves and vessels is also timely. In the first part of this work, we review pertinent surface anatomy; portal nomenclature, locations, and utility; and review distances to the nearest structures at risk. In this second part of this work, we discuss the change from the supine hanging position to the supine-suspended position with the use of a mechanical arm holder. Currently, the supine-suspended and lateral decubitus positions are the two most commonly utilized techniques. Other topics described include the history of the supine position, provide key points for proper patient positioning, and detail the steps of diagnostic elbow arthroscopy. It is our hope that this work will serve as an up-to-date review and summary of the most critical components of this procedure for emerging elbow arthroscopists. In the third part of this work, we discuss the history, patient positioning, and key steps for performing elbow arthroscopy in the lateral decubitus position. In addition to key steps, a number of strengths and limitations of this set up are discussed in detail. When properly executed, elbow arthroscopy can be performed in a safe and efficient manner with minimal risk to patients.

Results for "Physical Exam/Anatomy"

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