Mid-radial portal for operative arthroscopy of the elbow: cadaveric and clinical description of a new portal.

We report a previously undescribed portal on the lateral aspect of the elbow-the mid-radial portal-and discuss the safety and use of this portal in a clinical practice via cadaveric dissection and retrospective review of 61 patients. It is located midway between the proximal anterolateral and the direct lateral portals at the level of the radiocapitellar joint and serves as a second portal on the lateral side of the elbow for use anteriorly or posteriorly. The portal penetrates the common extensor origin and courses between the radial and ulnar bands of the lateral collateral ligament complex prior to penetrating the joint capsule.In the clinical series, the mid-radial portal was used in 40 (66%) of 61 cases. The most common procedures involved removal of loose bodies and debridement in the radiocapitellar joint or posterolateral gutter. Follow-up in the clinical series averaged 6 months. No major and 2 minor complications, neither of which could be directly attributed to the use of the mid-radial portal, were found. Specifically, no cases of postoperative lateral instability existed. The previously undescribed mid-radial portal is a safe, effective option for arthroscopy on the lateral aspect of the elbow.