Medial Elbow Exposure: Modified Taylor-Scham Versus Flexor Carpi Ulnaris–Split

Abstract

Supplemental Digital Content is Available in the Text.

A Medial Approach That Provides Ample Exposure of the Coronoid for Fracture Management

“…The Taylor-Sham approach and its variations describe the posterior-to-anterior elevation of the FPM, including the ulnar head of the FCU. 4,5 The ulnar nerve is transposed anteriorly. The FCU split approach utilizes the floor of the cubital tunnel and the interval between the 2 FIGURE 1.…”

“…The FCU is not released from the medial epicondyle. The Taylor-Sham approach and its variations describe the posterior-to-anterior elevation of the FPM, including the ulnar head of the FCU 4,5 . The ulnar nerve is transposed anteriorly.…”

“…Commonly used medial approaches to the elbow do not describe a complete release of the FPM from its humeral origin. These approaches include the Hotchkiss "over the top", 3 the Taylor-Sham, 4,5 the flexor carpi ulnaris (FCU) split, [5][6][7][8] the extended medial, 6,7 and the Smith 9 (Table 1). Our approach releases the FPM off the medial epicondyle leaving the ulnar head of the FCU intact.…”