Lateral approach to distal humerus

Indications

Lateral epicondyle
- ORIF
- Tennis elbow

Position

supine
tornique
arm draped free
arm layed across chest

Landmarks

lateral epicondyle
lateral supracondylar ridge

Incision

5 cm longitudinal incision centred over lateral supracondylar ridge

Internervous Plane

Triceps
- Radial nerve
Brachioradialis
- Radial nerve

Superficial Dissection

Deep fascia
Develop plane between brachioradialis & triceps
Cut between these muscles down to bone
- Reflecting BR anteriorly
- Triceps posteriorly

Deep Dissection

Reflect Common extensor origin & triceps as needed

Dangers

Nerve
- radial