APEX Elbow Mastering Surgical Techniques for Clinical Success-Indications and Set-up for Elbow Arthroscopy

Video Transcription

Video Summary

In this video, Scott Steinman discusses one approach to performing elbow arthroscopy, emphasizing that it is not the only or best way. He mentions that elbow arthroscopy is becoming more common for the treatment of arthritis but can be challenging due to the complex neuroanatomy of the elbow. Steinman suggests preoperative planning with x-rays and a 3D CT scan and discusses the importance of open exposure and general anesthesia for better nerve status assessment. He describes the operative setup in the lateral decubitus position and highlights the need for proper patient positioning. Steinman explains the establishment of portals, recommends starting with anterolateral portals, and demonstrates the insertion of trocars. He emphasizes the importance of safe portals, the removal of osteophytes, and the preservation of the capsule near the radial nerve for safety. Steinman points out the position of the radial, median, and ulnar nerves during the procedure and stresses the importance of spotting removal and managing complications like heterotopic bone. He also mentions an editorial he wrote about safe elbow arthroscopy and advises starting with small cases before advancing to bigger ones.

Asset Caption

Scott P. Steinmann M.D.

Keywords

elbow arthroscopy

neuroanatomy

operative setup

nerve safety

preoperative planning