ARTHROSCOPY OF THE ELBOW - ANATOMY, PORTAL SITES, AND A DESCRIPTION OF THE PROXIMAL LATERAL PORTAL

被引：80
作者：
STOTHERS, K [1 ]
DAY, B [1 ]
REGAN, WR [1 ]
机构：
[1] UNIV BRITISH COLUMBIA,DEPT ORTHOPAED,VANCOUVER,BC V5Z 1M9,CANADA
来源：
ARTHROSCOPY | 1995年 / 11卷 / 04期
关键词：
ELBOW ARTHROSCOPY; ANATOMY;
D O I：
10.1016/0749-8063(95)90200-7
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Cadaveric studies were carried out to evaluate the safety and value of the standard portals used in elbow arthroscopy. The dissections were performed in 12 fresh cadaveric specimens. Each portal was assessed in terms of its safety with respect to nearby important structures. A proximal lateral portal was evaluated and has subsequently been used in 62 patients. A straight posterior (transhumeral) portal was also studied. We have found that in arthroscopy of the elbow joint, the proximal approaches (proximal medial and proximal lateral), are safer than the anteromedial and anterolateral approaches. All areas of the anterior compartment can be visualized using these two portals, and we recommend that they be the standard anterior portals used in elbow arthroscopy. All of the posterior approaches are safe.
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页码：449 / 457
页数：9
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  • [1] Lynch, Meyers, Whipple, Caspari, Neurovascular anatomy and elbow arthroscopy: Inherent risks, Arthroscopy, 2, pp. 190-197, (1986)
  • [2] Lindenfeld, Medial approach in elbow arthroscopy, Am J Sports Med, 18, pp. 413-417, (1990)
  • [3] Verhaar, Van Mamaren, Brandsma, Risks of neurovascular injury in elbow arthroscopy: Starting anteromedially or anterolaterally?, Arthroscopy, 7, pp. 287-290, (1991)
  • [4] Stothers, Day, Regan, Arthroscopic anatomy of the elbow: An anatomical study and description of a new portal, Arthroscopy, 9, pp. 362-363, (1993)
  • [5] Andrews, Carson, Arthroscopy of the elbow, Arthroscopy, 1, pp. 97-107, (1985)
  • [6] Rodeo, Forster, Weiland, Neurological complications due to arthroscopy, J Bone Joint Surg Am, 75, pp. 917-926, (1993)
  • [7] O'Driscoll, Morrey, Arthroscopy of the elbow, Diagnostic and therapeutic benefits and hazards, 74, pp. 84-94, (1992)
  • [8] Field, Altchek, Warren, O'Brien, Skyhar, Wickiewicz, Arthroscopic anatomy of the lateral elbow: A comparison of three portals, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 10, pp. 602-607, (1994)
  • [9] Woods, Elbow arthroscopy, Clin Sports Med, 6, pp. 557-564, (1987)
  • [10] Smith, Letters to the editor, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 5, (1989)
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