Christopher L. Camp, M. D. , Ryan M. Degen, M. D

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Presentation transcript:

Basics of Elbow Arthroscopy Part I: Surface Anatomy, Portals, and Structures at Risk  Christopher L. Camp, M.D., Ryan M. Degen, M.D., Joaquin Sanchez-Sotelo, M.D., David W. Altchek, M.D., Joshua S. Dines, M.D.  Arthroscopy Techniques  Volume 5, Issue 6, Pages e1339-e1343 (December 2016) DOI: 10.1016/j.eats.2016.08.019 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Key anatomic landmarks and surface anatomy are highlighted on a right elbow in the lateral decubitus position. (A) On the medial side, the medial epicondyle, ulnar nerve, and medial intermuscular septum should be identified. (B) When viewing the posterior aspect of the elbow, the olecranon process is easily visible. (C) Laterally, the lateral epicondyle, capitellum, radial head, and soft spot should be identified. (MABCN, medial antebrachial cutaneous nerve.) Arthroscopy Techniques 2016 5, e1339-e1343DOI: (10.1016/j.eats.2016.08.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 On this right elbow, the most commonly used portals for elbow arthroscopy are detailed in reference to important surrounding anatomic structures in both the supine (A-C) and lateral decubitus (D-F) positions. (A, D) From the medial side, the anteromedial portal (AMP), mid-anteromedial portal (MAMP), and proximal anteromedial portal (PAMP) can provide access to the anterior elbow. (B, E) To access the posterior elbow, the direct posterior portal (DPP), posterolateral portal (PLP), direct lateral portal (DLP), and distal ulnar portals (DUP) can be used. (C, F) Finally, the anterolateral portal (ALP), mid-anterolateral portal (MALP), and proximal anterolateral portal (PALP) can be used to access the anterior elbow joint from the lateral side. Arthroscopy Techniques 2016 5, e1339-e1343DOI: (10.1016/j.eats.2016.08.019) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions