The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery
One surgical option to manage idiopathic osteoarthritis of the elbow is an ulnohumeral arthroplasty. A potential complication to avoid during this procedure is inadvertent over penetration of the anterior cortex of the humerus. If this occurs, injury to the median nerve and brachial artery is possib...
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2021
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oai:doaj.org-article:d25a9574290541b68a362fa276b0fbfb2021-11-22T04:31:59ZThe ulnohumeral arthroplasty: technical tips for safely managing the brachial artery2666-639110.1016/j.xrrt.2021.07.001https://doaj.org/article/d25a9574290541b68a362fa276b0fbfb2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000675https://doaj.org/toc/2666-6391One surgical option to manage idiopathic osteoarthritis of the elbow is an ulnohumeral arthroplasty. A potential complication to avoid during this procedure is inadvertent over penetration of the anterior cortex of the humerus. If this occurs, injury to the median nerve and brachial artery is possible as these structures may lie within 7 mm of the anterior humerus. This surgical technique describes technical tips in regards to patient positioning and specific instrument usage that serve to diminish the risk of this catastrophic complication occurring by allowing these critical neurovascular structures to fall away from the anterior humerus.Daniel A. London, MD, MSSafi R. Faruqui, DOThomas J. Douglas, MDJerome G. Enad, MDRobert T. Ruland, MDElsevierarticleUlnohumeral arthroplastyElbow surgeryElbow replacementKashiwagiSurgical anatomySurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 402-407 (2021) |
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Ulnohumeral arthroplasty Elbow surgery Elbow replacement Kashiwagi Surgical anatomy Surgery RD1-811 |
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Ulnohumeral arthroplasty Elbow surgery Elbow replacement Kashiwagi Surgical anatomy Surgery RD1-811 Daniel A. London, MD, MS Safi R. Faruqui, DO Thomas J. Douglas, MD Jerome G. Enad, MD Robert T. Ruland, MD The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
description |
One surgical option to manage idiopathic osteoarthritis of the elbow is an ulnohumeral arthroplasty. A potential complication to avoid during this procedure is inadvertent over penetration of the anterior cortex of the humerus. If this occurs, injury to the median nerve and brachial artery is possible as these structures may lie within 7 mm of the anterior humerus. This surgical technique describes technical tips in regards to patient positioning and specific instrument usage that serve to diminish the risk of this catastrophic complication occurring by allowing these critical neurovascular structures to fall away from the anterior humerus. |
format |
article |
author |
Daniel A. London, MD, MS Safi R. Faruqui, DO Thomas J. Douglas, MD Jerome G. Enad, MD Robert T. Ruland, MD |
author_facet |
Daniel A. London, MD, MS Safi R. Faruqui, DO Thomas J. Douglas, MD Jerome G. Enad, MD Robert T. Ruland, MD |
author_sort |
Daniel A. London, MD, MS |
title |
The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
title_short |
The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
title_full |
The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
title_fullStr |
The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
title_full_unstemmed |
The ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
title_sort |
ulnohumeral arthroplasty: technical tips for safely managing the brachial artery |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/d25a9574290541b68a362fa276b0fbfb |
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