Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery Gregory Bain, F.R.A.C.S., Ph.D., Prince Gupta,

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Endoscopic Excision of Supracondylar Humeral Spur for Decompression of the Median Nerve and Brachial Artery Gregory Bain, F.R.A.C.S., Ph.D., Prince Gupta, M.S., Joideep Phadnis, F.R.C.S., Prahalad K. Singhi, D.N.B. Arthroscopy Techniques Volume 5, Issue 1, Pages e67-e70 (February 2016) DOI: 10.1016/j.eats.2015.08.019 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Anteroposterior radiograph of an elbow showing a supracondylar spur pointing downward, present at the medial aspect of the distal humerus. (B) Computed tomography arteriogram of the upper limb showing the brachial artery passing and kinking under the supracondylar spur. © 2016 Gregory Bain. All Rights Reserved. Arthroscopy Techniques 2016 5, e67-e70DOI: (10.1016/j.eats.2015.08.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Intraoperative photograph showing the median nerve under the supracondylar spur. The inset shows the relation of the Struthers ligament (lig) with the median nerve (n), brachial artery (a), and ulnar nerve. © 2016 Gregory Bain. All Rights Reserved. Arthroscopy Techniques 2016 5, e67-e70DOI: (10.1016/j.eats.2015.08.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Intraoperative photographs showing excision of Struthers ligament with scissors (A) and excision of supracondylar spur with Kerrison rongeur (B). © 2016 Gregory Bain. All Rights Reserved. Arthroscopy Techniques 2016 5, e67-e70DOI: (10.1016/j.eats.2015.08.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions