Ulnar Nerve Palsy After Elbow Arthroscopy |
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| Institution: | 1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois;2. Department of Orthopedic Surgery, University of Connecticut Health Center, Farmington, Connecticut, U.S.A.;1. Institute of Clinical Anatomy, Southern Medical University, Guangzhou, Guangdong, China;2. Department of Urology, The Affiliated Hexian Memorial Hospital of Southern Medical University, Guangzhou, Guangdong, China;3. Department of Urology, The First Affiliated Hospital of JINAN University, Guangzhou, Guangdong, China;4. Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan, China;1. Department of Anesthesiology, Hanyang University Medical Center, College of Medicine, Hanyang University, Seoul, Korea;2. Department of Neurosurgery, Hanyang University Medical Center, College of Medicine, Hanyang University, Seoul, Korea;3. Department of Neurosurgery, Gumdan Top General Hospital, Incheon, Korea;1. Department of Emergency Medicine, Shimonoseki City Hospital, 1-13-1 Koyo-Cho, Shimonoseki, Yamaguchi, Japan;2. Department of Surgery, Shimonoseki City Hospital, 1-13-1 Koyo-Cho, Shimonoseki, Yamaguchi, Japan |
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| Abstract: | Reports of ulnar nerve injury as a result of elbow arthroscopy are rare in the literature. We report a case of ulnar nerve injury following arthroscopic debridement and retrograde drilling of the capitulum in a patient with symptomatic osteochondritis dissecans. The standard location of proximal medial portal placement is 2 cm proximal to the medial epicondyle at the level of the medial intermuscular septum. In this location, the ulnar nerve is protected from injury by the medial intermuscular septum. Extending this placement more proximally may negate this protection, leaving the nerve more susceptible to injury. |
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