Portal placement in elbow arthroscopy by novice surgeons: cadaver study

Purpose In this anatomical cadaver study, the distance between major nerves and ligaments at risk for injury and portal sites created by trainees was measured. Trainees, inexperienced in elbow arthroscopy, have received a didactic lecture and cadaver instruction prior to portal placement. The incide...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2017-07, Vol.25 (7), p.2247-2254
Main Authors: Claessen, Femke M. A. P., Kachooei, Amir R., Kolovich, Gregory P., Buijze, Geert A., Oh, Luke S., van den Bekerom, Michel P. J., Doornberg, Job N.
Format: Article
Language:English
Subjects:
Adult
Aged
Arthroscopy
Arthroscopy - adverse effects
Arthroscopy - methods
Bundling
Cadaver
Cadavers
Clinical Competence
Complications
Elbow
Elbow (anatomy)
Elbow Joint - surgery
Female
Health risks
Humans
Incidence
Intraoperative Complications
Ligaments
Ligaments - injuries
Male
Median nerve
Medical personnel
Medicine
Medicine & Public Health
Middle Aged
Nerves
Orthopedics
Peripheral Nerve Injuries - etiology
Placement
Risk Factors
Surgeons
Surgery
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Description
Summary:Purpose In this anatomical cadaver study, the distance between major nerves and ligaments at risk for injury and portal sites created by trainees was measured. Trainees, inexperienced in elbow arthroscopy, have received a didactic lecture and cadaver instruction prior to portal placement. The incidence of iatrogenic injury from novice portal placement was also determined. Methods Anterolateral, direct lateral, and anteromedial arthroscopic portals were created in ten cadavers by ten inexperienced trainees in elbow arthroscopy. After creating each portal, the trajectory of the portal was marked with a guide pin. Subsequently, the cadavers were dissected and the distances between the guide pin in the anterolateral, direct lateral, and anteromedial portals and important ligaments and nerves were measured. Results The difference between the distance of the direct lateral portal and the posterior antebrachial cutaneous nerve (PABCN) (22 mm, p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-016-4186-y