Risks of neurovascular injury in elbow arthroscopy: starting anteromedially or anterolaterally?
A cadaver dissection study was performed to study the risks of neurovascular damage in elbow arthroscopy. The risk of injury to the radial nerve in the anterolateral approach was higher than the risk of damaging the median nerve in the anteromedial approach. In addition, starting medially may contribute to accurate placement of the anterolateral portal and may further help to decrease the risk of injuring the radial nerve. Therefore, starting with an anteromedial approach has several advantages above starting anterolaterally.
Verhaar
J
J
Orthopaedic Department, University Hospital Maastricht, The Netherlands.
van Mameren
H
H
Brandsma
A
A
D020679:Arthroscopes; D001182:Arthroscopy / Q000379:methods*; D001916:Brachial Artery / Q000293:injuries*; D004551:Elbow Joint / Q000098:blood supply* / Q000294:innervation*; D006801:Humans; D008475:Median Nerve / Q000293:injuries*; D011826:Radial Nerve / Q000293:injuries*; D012307:Risk Factors; D014459:Ulnar Nerve / Q000293:injuries*