Master Tech Ortho Surgery Elbow CH1

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PART I Exposures

Technique  Note : The basic interval is the connection of the above two exposures, the column and the distal limited Kocher. The lateral collateral ligament is released, and the triceps may be elevated from the posterior aspect of the humerus by extending the skin incision 6 to 7 cm proximal to the lateral epicondyle (Fig. 1B-27). ●● After entering Kocher interval, the extensor carpi ulnaris and common extensor tendon are identi- fied and reflected anteriorly exposing the capsule (Fig. 1B-28A and B).

FIGURE 1B-27 The straight posterior incision is considered “universal” as the entire joint can be exposed through this skin incision. Specific “for purpose” skin incisions such as for the “Column” or limited Kocher are frequently portions of a more extensive incision, such as the extensile Kocher incision.

Common extensor tendon

Joint capsule

Triceps muscle

Anconeus muscle

B

FIGURE 1B-28

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