The Boyd Interval

Robinson, Paula; Li, Martin K-H; Dattani, Rupen; Rensburg, Lee Van

doi:10.1097/bth.0000000000000112

Cited by 23 publications

(11 citation statements)

References 10 publications

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“…33 The modified Boyd approach for addressing a radial head injury has shown superior exposure of the lateral elbow while minimizing the risk of injury to the posterior interosseous nerve. 34 Any ligament reconstructions deemed necessary should be performed in the end. The use of internal fixation using locking plates to fix the proximal ulnar fracture has been shown to provide superior biomechanical stability, and thus is the preferred method of fixation.…”

Section: Surgicalmentioning

confidence: 99%

Proximal ulna fractures in adults: A review of diagnosis and management

Masood

Qulaghassi

Grewal

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Proximal ulna fractures are relatively common upper limb injuries, which may represent fragility fractures or result from high-energy trauma. These include fractures of the olecranon, coronoid and associated radial head dislocations. A wide variety of treatment options are available for the management of these injuries that makes the selection of most appropriate treatment difficult. We aim to provide a brief overview of the treatment options for such injuries.

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Section: Surgicalmentioning

confidence: 99%

Proximal ulna fractures in adults: A review of diagnosis and management

Masood

Qulaghassi

Grewal

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…If the transolecranon exposure is not adequate for management of a coexisting radial head fracture, a separate posterolateral Kocher approach, lateral Kaplan approach, extensor digitorum communis splitting approach, or Boyd approach (elevation of the anconeus) can be utilized. 7,[12][13][14] These approaches can also be extended over the anterior humerus by elevating the brachialis to access an associated coronoid fracture. If this is not sufficient, a separate medial approach can also be utilized between the 2 heads of the flexor carpi ulnaris or through the flexor-pronator mass to visualize and treat associated coronoid fractures.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transolecranon Exposure of Monteggia Variant Fracture-dislocations of the Elbow

Colliton

Leung

2020

Techniques in Hand &Amp; Upper Extremity Surgery

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Posterior Monteggia fracture-dislocations are uncommon injuries that can result from a fall onto an outstretched hand. Often, these injuries are associated with coronoid and/or radial head fractures. When this is the case, direct fixation can require 3 separate fascial incisions: posterior to address the proximal ulnar fracture, lateral to address the radial head fracture, and medial to address the coronoid fracture. We illustrate a transolecranon surgical approach for fixation of a type IIA posterior Monteggia fracture-dislocation with associated radial head and coronoid fractures. In this approach, the 3 associated fractures can be addressed through a single posterior incision, thereby minimizing soft tissue disruption around the elbow.

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“…This provides wide access to nearly the entire capitellum and can be used for lesions in almost any location. 6 Our patient is a 15-year-old right-hand-dominant boy who is a multi-sport athlete. He is now 8 months out from a previous open debridement performed at an outside hospital with recurrent symptoms, including pain and mechanical symptoms.…”

Section: Video Transcriptmentioning

confidence: 98%

Osteochondral Allograft Transplantation for the Unstable Capitellar Osteochondritis Dissecans Lesion: An Anconeus Preserving Approach

Feroe

Langhans

Sánchez-Sotelo

et al. 2023

Video Journal of Sports Medicine

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Background: Osteochondritis dissecans (OCD) of the capitellum can be a disabling condition that typically affects adolescent, overhead athletes. To date, a variety of different surgical treatment options have been described. Indications: Surgical indications for osteochondral allograft transplantation (OCA) for capitellar OCD lesions include failure of nonsurgical management or prior surgery and unstable, full-thickness lesions of almost any size affecting both bone and cartilage. The anconeus preserving approach specifically provides wide access to nearly the entire capitellum and can be used for lesions in almost any location. Technique Description: The anconeus preserving approach for OCA utilizes the interval between the anconeus and the ulna. With the patient positioned supine and the elbow flexed on an arm table, an incision is made approximately 1 cm lateral to the olecranon and is carried down to the fascia. Electric cautery is used to dissect the interval between the ulna and the anconeus. The anconeus is elevated off the ulna and retracted laterally to expose the underlying joint capsule. An L-shaped capsulotomy is performed over the center of the capitellum, just proximal to the annular ligament of the radial head. A pin is placed into the center of the lesion, perpendicular to the capitellum. A cannulated reamer 0.5 mm smaller than the lesion is used to ream the lesion to a depth of approximately 5 mm. Depth measurements are taken at all 4 poles of the defect. About 3 cc of bone marrow aspirate harvest is then obtained from the ulna using a cannulated needle. The oscillating saw is used to cut the graft to size using the prior measurements. The bone marrow aspirate is placed onto the osseous side of the graft before the osteochondral graft is impacted into the recipient site. The capsulotomy is then closed, and the anconeus is repaired back to the ulna. Postoperatively, patients begin range of motion as soon as tolerated, initiate strengthening at 6 weeks, and initiate return-to-sport programming at 3 months. Results: Lesions treated with OCA typically demonstrate improvement in all outcome measures, including functional scores, graft incorporation, articular surface congruity, and return-to-sport. Complications and graft failure is rare. Discussion/Conclusion: OCA using an anconeus preserving approach is a reliable option for surgical management of unstable OCD lesions. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

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The Boyd Interval

Cited by 23 publications

References 10 publications

Proximal ulna fractures in adults: A review of diagnosis and management

Proximal ulna fractures in adults: A review of diagnosis and management

Transolecranon Exposure of Monteggia Variant Fracture-dislocations of the Elbow

Osteochondral Allograft Transplantation for the Unstable Capitellar Osteochondritis Dissecans Lesion: An Anconeus Preserving Approach

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