Olecranon Fossa Fenestration Approach to the Coronoid and Anterior Elbow: The Way OFF.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 39479033.
- Also identified by DOI 10.1016/j.eats.2024.103078 and PMC identifier 11519872.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Hypertrophic osteoarthritis of the elbow is a challenging condition that can vary from mild to severe, affecting patients' quality of life due to pain and loss of range of motion. A consensus about its treatment does not exist. Open arthrolysis with capsular release, synovectomy, Outerbridge-Kashiwagi fenestration, and removal of loose bodies and osteophytes demonstrated good results. In more recent times, an arthroscopic procedure has been shown to have the same efficacy as the open one. The aim of this Technical Note is to describe an all-arthroscopic procedure to reach the coronoid tip, in a safe and reproducible manner, through an olecranon fossa fenestration with a direct transtricipital posterior portal and an anterior cruciate ligament guide.
Anatomy
- elbow