Mississippi Sports Medicine and Orthopaedic Center.
Arthroscopy. 2017 Nov;33(11):1986-1987. doi: 10.1016/j.arthro.2017.07.011.
Elbow arthroscopy is a challenging procedure due, in part, to the technical demands of portal placement as a consequence of the close proximity of the neurovascular structures. The radial nerve and its branches are especially at risk during lateral elbow arthroscopic portal placement. Two newly described (proximal) anterolateral elbow arthroscopy portals may be safer than the distal anterolateral portal location with regard to proximity to the radial nerve. These portals provide a new angle of approach, compared with the traditional and more posterior (but still safely proximal) anterolateral portals.
肘关节镜检查是一项具有挑战性的手术,部分原因是由于神经血管结构的近距离接近,导致了端口放置的技术要求。在外侧肘内窥镜端口放置过程中,桡神经及其分支尤其容易受到伤害。与远端前外侧关节镜入口位置相比,两个新描述的(近端)前外侧肘关节镜入口可能更安全,因为它们与桡神经的距离更近。与传统的更靠后的(但仍然是安全的近端)前外侧入口相比,这些入口提供了一个新的接近角度。