The posterior transtriceps approach for intra-articular elbow diagnostics, definitely not forgotten

Abstract

The posterior transtriceps approach is a technical feasible procedure, is easy to perform, and avoids a diagnostic dilemma in presumed injuries to the lateral collateral ligament complex. Our results show a tendency of even lesser amount of contrast leakage, further promoting a more widespread usage of the posterior transtriceps approach.

Clinical Outcome After Arthroscopic Debridement and Microfracture for Osteochondritis Dissecans of the Capitellum

“…Subsequently, 20 mL of saline was injected in the joint from posterior into the olecranon fossa. 38 Arthroscopy was performed by use of 6 portals: 1 proximal anteromedial, 1 proximal anterolateral, 2 posterior, and 2 posterolateral (Figure 2). A standard 30° wide-angle scope (5-mm diameter) was used to visualize the radiocapitellar compartment and address the osteochondral lesion.…”

The Posterior Transtriceps Approach for Intra-articular Elbow Arthrography: A Painless Method?

“…There was no contrast leakage in either of our two patients. If there was leakage, as in the cases previously reported by other authors [ 1 , 2 ], it would not affect the diagnostic quality of the MRI examination, unlike with a radiocapitellar approach. Additionally, another advantage of the transtriceps approach is that it can be transposed to ultrasound-guided arthrography [ 1 ].…”

“…In 2009, Lohman et al discussed the transtriceps approach for elbow arthrography and found that the major advantage was that if contrast leakage were to occur, it wouldn’t interfere with the diagnostic quality given the leakage wouldn’t interfere with the lateral structures, as would the case with a more conventional and commonly used radiocapitellar approach [ 1 ]. In 2012, Wagenberg et al reported studying a larger patient cohort using the transtriceps approach and found there is less contrast leakage compared to the radiocapitellar approach [ 2 ]. Furthermore, the transtriceps approach avoids damage to the radial collateral ligament [ 1 ].…”

Decreased Defect Size and Partial Restoration of Subchondral Bone on Computed Tomography After Arthroscopic Debridement and Microfracture for Osteochondritis Dissecans of the Capitellum

“…Then, 20 mL of saline was injected into the joint from posterior into the olecranon fossa. 30 Arthroscopy was performed with 6 portals: 1 proximal anteromedial, 1 proximal anterolateral, 2 posterior, and 2 posterolateral. A standard 30° wide-angle scope (4 mm diameter) was used to visualize the radiocapitellar compartment and identify the osteochondral defect.…”