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Article Synopsis
  • The study focuses on the fixation of the trochlea in low transcondylar fractures of the distal humerus, which is crucial for elbow stability during surgery.
  • Twenty human cadaveric humeri were tested, divided into two groups, with one group utilizing screws that extended into the trochlea and the other not.
  • Results showed that the group with trochlea fixation had significantly less displacement and higher ultimate failure loads, indicating improved stability in the surgical construct.
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Background And Objective: The development of a high level of competence and technical proficiency is one of the main objectives of any neurosurgical training program. Due to many factors, this progressive skill development can be complex during the residency. Despite its high cost and infrastructure requirements, there is renewed interest regarding the role of anatomy labs.

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Extreme Lateral Approach to the Craniocervical Junction, Operative Technique and Approach Essentials: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown)

October 2023

Department of Neurosurgery, NYU Langone Health, New York, New York, USA.

Indications Corridor And Limits Of Exposure: The extreme lateral approach is useful for both extradural and intradural anterior and anterolateral lesions at the lower clivus down to the level of C2.

Anatomic Essentials Need For Preoperative Planning And Assessment: The patient is evaluated with MRI, computed tomography (CT), and an angiogram. Special attention is given to vascular (vertebral artery course, dominance, tumor feeders) and bony (occipital condyle, jugular tubercle, foramen magnum and extent of bony involvement) anatomy.

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Epithelioid hemangioma is a rare vascular mesenchymal tumor with a paucity of reports of cranial involvement. In particular, guidance on treatment for lateral skull base lesions is lacking, despite this being a highly technically challenging location. Nuances in the management decisions for this tumor type are discussed.

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