Kosharniy V. V., Abdul – Ogly L. V., Nosyvets D. S., Shevchenko I. V., Gruzd V. V.
ANATOMICAL BASIS FOR SURGICAL APPROACHES TO THE ELBOW JOINT
Show/Download
About the author:
Kosharniy V. V., Abdul – Ogly L. V., Nosyvets D. S., Shevchenko I. V., Gruzd V. V.
Heading:
MORPHOLOGY
Type of article:
Scientific article
Annotation:
Restoration of elbow joint function after traumatic and degenerative-dystrophic lesions depends on the nature and mechanism of injury, the degree of involvement of bone, capsular-ligamentous and soft tissue structures, as well as the presence of concomitant injuries of the neurovascular structures of the upper limb. An important role in achieving favorable functional results is played by the choice of optimal surgical access to the elbow joint, which should provide adequate visualization of the affected anatomical areas and the possibility of a full revision of the articular surfaces. The anatomical justification of surgical accesses during operations on the elbow joint is based on taking into account the complex topography of the joint, the close location of the main nerves and vessels, as well as the peculiarities of the spread of post-traumatic changes. To optimize the choice of access, a comprehensive morphological, clinical-anatomical and retrospective study was conducted to assess the safety and informativeness of various surgical approaches. It should be taken into account that the existing postoperative scars or limited information about the initial course of the injury do not always accurately reflect the real localization of pathological changes, which may complicate the intraoperative orientation of the surgeon. The optimal access should be as atraumatic as possible with respect to intact tissues, provide sufficient freedom of manipulation during arthroscopic or open interventions and minimize the risk of iatrogenic damage to neurovascular formations. The prognosis for restoration of function and the choice of treatment method depend on the type, severity and duration of the pathological process, and in complex cases, it is advisable to perform surgical interventions in stages, the effectiveness of which is largely determined by the timeliness of surgical treatment.
Tags:
Bibliography:
- Carpenter ML, Vega JF, Gerhold C, Murray MJ, Poulson TA, Verma NN. Arthroscopic management of posterior elbow impingement. Video J Sports Med. 2025;5(4):26350254251334652. DOI: 10.1177/26350254251334652.
- Batra AK, Brusalis CM, Jawanda H, Jackson G, Verma NN. Lateral decubitus positioning for shoulder arthroscopy. Video J Sports Med. 2023;3(3):26350254231169488. DOI: 10.1177/26350254231169488.
- Ricci V, Mezian K, Chang KV, Mittal N, Kara M, Naňka O, et al. Ultrasound-guided injection of the elbow: cadaveric description for the proximal to distal approach. PM R. 2023;15(11):1431-1435. DOI: 10.1002/pmrj.12966.
- Midtgaard KS, Ruzbarsky JJ, Hackett TR, Viola RW. Elbow fractures. Clin Sports Med. 2020;39(3):623-636. DOI: 10.1016/j.csm.2020.03.002.
- Meyer MA, Leversedge FJ, Catalano LW 3rd, Lauder A. Complex elbow fracture-dislocations: an algorithmic approach to treatment. J Am Acad Orthop Surg. 2024;32(15):669-680. DOI: 10.5435/JAAOS-D-23-00460.
- Gehrman MD, Grandizio LC. Elbow ulnar collateral ligament injuries in throwing athletes: diagnosis and management. J Hand Surg Am. 2022;47(3):266-273. DOI: 10.1016/j.jhsa.2021.11.026.
- Koehl P, Rueth MJ, Schuh A. Easy approach to ultrasound examination of the joints: upper extremity - part 2: elbow joint. MMW Fortschr Med. 2024;166(13):62-66. DOI: 10.1007/s15006-024-4068-z.
- Fontes T, Saraiva F. Ultrasound exploration of the elbow: A user-friendly approach. Eur J Radiol. 2023;165:110896. DOI: 10.1016/j.ejrad.2023.110896.
- Onizuka N, Switzer J, Myeroff C. Management of geriatric elbow injury. Orthop Clin North Am. 2021;52(4):381-401. DOI: 10.1016/j.ocl.2021.05.009.
- Chiu YC, Wu CH, Tsai KL, Jou IM, Tu YK, Ma CH. Using an Internal Joint Stabilizer Through a Single Posterior Approach for Elderly Patients With Terrible Triad Injury. Geriatr Orthop Surg Rehabil. 2023;14:21514593231162193. DOI: 10.1177/21514593231162193.
Publication of the article:
«Bulletin of problems biology and medicine», 2025 Issue 4, 179, 325-333 pages, index UDC 616.727.3:611
