Operative approaches: Elbow

  • In an appropriately marked + consented + anaesthetised patient. I would complete the WHO checklist. The patient would be positioned supine with upper arm supported on a hand table. Torniquette 250mmHg
  • Incision: 5cm curved off the lateral epicondyle and to radial head
  • Superficial dissection is between the ECU and anconeus
  • Internervous plane: posterior interosseous nerve and radial nerve
  • Pronation to moves the PIN away from field.
  • Deep dissection: split fibres of supinator.