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Accessibility of osteochondral lesion at the capitellum during elbow arthroscopy: an anatomical study.
- Source :
-
Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2024 Mar; Vol. 144 (3), pp. 1297-1302. Date of Electronic Publication: 2024 Jan 03. - Publication Year :
- 2024
-
Abstract
- Introduction: Osteochondrosis dissecans (OCD) at the capitellum is a common pathology in young patients. Although arthroscopic interventions are commonly used, there is a lack of information about the accessibility of the defects during elbow arthroscopy by using standard portals.<br />Materials and Methods: An elbow arthroscopy using the standard portals was performed in seven fresh frozen specimens. At the capitellum, the most posterior and anterior cartilage surface reachable was marked with K-wires. Using a newly described measuring method, we constructed a circular sector around the rotational center of the capitellum. The intersection of K-wire "A" and "B" with the circular sector was marked, and the angles between the K-wires and the Rogers line, alpha angle for K-Wire "A" and beta angle for K-wire "B", and the corridor not accessible during arthroscopy was digitally measured.<br />Results: On average, we found an alpha angle of 53° and a beta angle of 104°. Leaving a sector of 51° which was not accessible via the standard portals during elbow arthroscopy.<br />Conclusion: Non-accessible capitellar lesions during elbow arthroscopy should be considered preoperatively, and the informed consent discussion should always include the possibility of open procedures or the use of flexible instruments.<br /> (© 2024. The Author(s).)
Details
- Language :
- English
- ISSN :
- 1434-3916
- Volume :
- 144
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Archives of orthopaedic and trauma surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38172435
- Full Text :
- https://doi.org/10.1007/s00402-023-05172-7