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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Autores principales: Daniel A. London, MD, MS, Safi R. Faruqui, DO, Thomas J. Douglas, MD, Jerome G. Enad, MD, Robert T. Ruland, MD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/d25a9574290541b68a362fa276b0fbfb
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Ulnohumeral arthroplasty
Elbow surgery
Elbow replacement
Kashiwagi
Surgical anatomy
Surgery
RD1-811
spellingShingle 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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