previous page: 2/8 next

Medial approach

Skin incision

The incision is started 2-3 cm above the elbow joint, centered over the medial supracondylar ridge and the medial epicondyle, and passes to below the elbow joint.

For visualization of the prominence of the medial epicondyle for K-wire insertion, a 1.5 cm skin incision and blunt dissection of the subcutaneous tissue is sufficient.

Note: The incision is usually crossed by the posterior branch of the medial cutaneous antebrachial nerve. Care must be taken of this nerve branch during the dissection of the subcutaneous tissue; if it is divided, neuroma formation can be troublesome.