Ulnar nerve palsy after elbow arthroscopy

被引:28
作者
Dumonski, Mark L.
Arciero, Robert A.
Mazzocca, Augustus D.
机构
[1] Univ Connecticut, Ctr Hlth, Dept Orthoped Surg, Farmington, CT 06034 USA
[2] Rush Univ, Med Ctr, Dept Orthoped Surg, Chicago, IL 60612 USA
关键词
osteochondritis dissecans; ulnar nerve; elbow; neurotmesis;
D O I
10.1016/j.arthro.2005.12.049
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
Reports of ulnar nerve injury as a result of elbow arthroscopy are rare in the literature. We report a case of ulnar nerve injury following arthroscopic debridernent and retrograde drilling of the capitulum in a patient with symptomatic osteochondritis dissecans. The standard location of proximal medial portal placement is 2 cm proximal to the medial epicondyle at the level of the medial intermuscular septum. In this location, the ulnar nerve is protected front injury by the medial intermuscular septum. Extending this placement more proximally may negate this protection, leaving the nerve more susceptible to injury.
引用
收藏
页码:577.e1 / 577.e3
页数:3
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