[The trans-ulnar approach to the elbow joint]

Area of Science:

• Orthopedic Surgery
• Surgical Anatomy
• Elbow Joint Biomechanics

Background:

• The lateral approach to the elbow joint is crucial for accessing intra-articular structures.
• Previous methods may have limitations in providing optimal surgical exposure.
• Ulnar diaphyseal osteotomy offers a potential alternative for enhanced surgical access.

Observation:

• A specific surgical technique involving distal ulnar osteotomy is detailed.
• Dissection involves the joint capsule, lateral collateral ligament's caudal crus, and annular ligament.
• Medial displacement of the olecranon is achieved following these steps.

Findings:

• The described ulnar osteotomy facilitates an optimal survey of the humeral condyle.
• This approach provides excellent visualization for elbow joint procedures.
• A case report demonstrates the efficacy of this surgical method.

Implications:

• This technique may improve surgical outcomes for elbow joint pathologies.
• It offers a valuable alternative for orthopedic surgeons performing elbow surgery.
• Further studies can explore the broader applications and long-term results of this approach.