Accessibility of osteochondral lesion at the capitellum during elbow arthroscopy: an anatomical study.
Arch Orthop Trauma Surg
; 144(3): 1297-1302, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38172435
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. MATERIALS ANDMETHODS:
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.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.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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Osteocondritis Disecante
/
Articulación del Codo
Límite:
Humans
Idioma:
En
Revista:
Arch Orthop Trauma Surg
/
Arch. orthop. trauma surg
/
Archives of orthopaedic and trauma surgery
Año:
2024
Tipo del documento:
Article
País de afiliación:
Alemania