Abstract
The elbow is a relatively superficial joint where readily palpable bony prominences provide a “road map” to the underlying anatomy. Major neurovascular structures traverse the joint, and knowledge of the paths that they take around it is pivotal to gaining safe access to the area of pathology to be addressed. In this chapter, we will outline multiple approaches, posterior, lateral, medial, and anterior, and variations thereof, providing the surgeon with the knowledge required to work through 360° around the joint.
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References
Boyd HB. Surgical exposure of the ulna and proximal third of the radius through one incision. Surg Gynecol Obstet. 1940;71:86–8.
Campbell WC. Incision for exposure of the elbow joint. Am J Surg. 1932;15:65–7.
Van Gorder GW. Surgical approach in supracondylar “T” fractures of the humerus requiring open reduction. J Bone Joint Surg. 1940;22:278–92.
MacAusland WR. Ankylosis of the elbow: with report of four cases treated by arthroplasty. JAMA. 1915;64:312–8.
Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop. 1982;166:188–92.
Alonso-Llames M. Bilaterotricipital approach to the elbow. Its application in the osteosynthesis of supracondylar fractures of the humerus in children. Acta Orthop Scand. 1972;43:479–90.
Henry AK. Extensile exposure. 3rd ed. Edinburgh: Churchill Livingstone; 1995. p. 95–107.
Kocher T. Textbook of operative surgery. 3rd ed. London: Adam and Charles Black; 1911. p. 314–9.
Kaplan EB. Surgical approach to the proximal end of the radius and its use in fractures of the head and neck of the radius. J Bone Joint Surg. 1941;23:86–92.
Molesworth HWL. An operation for the complete exposure of the elbow-joint. Br J Surg. 1930;18:303–7.
Pearl RM, Johnson D. The vascular supply to the skin: an anatomical and physiological reappraisal—Part I. Ann Plast Surg. 1983;11:99–105.
Dowdy PA, Bain GI, King GJW, et al. The midline posterior elbow incision. An anatomical appraisal. J Bone Joint Surg. 1995;77B:696–9.
Patterson SD, Bain GI, Mehta JA. Surgical approaches to the elbow. Clin Orthop. 2000;370:19–33.
Zumstein MA, Burki A, Massy AS, Zysset P, Moor BK. Extra-articular step osteotomy of the olecranon: a biomechanical assessment. Clin Biomech (Bristol, Avon). 2015;30(10):1043–8. https://doi.org/10.1016/j.Clinbiomech.2015.09.009.
Gschwend N, Simmen BR, Matejovsky Z. Late complications in elbow arthroplasty. J Shoulder Elbow Surg. 1996;5:86–96.
Studer A, Athwal GS, MacDermid JC, Faber K, King GJW. The lateral para-olecranon approach for total elbow arthroplasty. J Hand Surg. 2013;38A:2219–26.
Gordon ML. Monteggia fracture. A combined surgical approach employing a single lateral incision. Clin Orthop. 1967;50:87–93.
Hotchkiss RN, Kasparyan NG. The medial “over the top” approach to the elbow. Tech Orthop. 2000;15(2):105–12.
Jobe FW. Surgical anatomy of the elbow. In: Jobe FW, editor. Operative techniques in upper extremity sports injuries. St. Louis, MO: CV Mosby; 1996. p. 405.
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Bain, G., Mehta, J.A., Mwaturura, T. (2020). Surgical Exposures of the Elbow Joint. In: Bain, G., Eygendaal, D., van Riet, R. (eds) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58931-1_9
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DOI: https://doi.org/10.1007/978-3-662-58931-1_9
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