Fig 5.

Patient is positioned supine with the posterior aspect of the right elbow being shown. Bony landmarks such as the olecranon, medial and lateral epicondyles, and the proposed skin incision are outlined on the skin (A). Skin incision is made, and dissection proceeds through the subcutaneous tissues as small flaps are elevated medially and laterally to expose the triceps tendon (B). The triceps tendon is incised longitudinally along its midline (C). Deeper soft tissues are elevated from the humerus medially and laterally to expose the olecranon fossa (D). Care is taken to avoid injury to the cartilage. (LE, lateral epicondyle; ME, medial epicondyle; OF, olecranon fossa; OT, olecranon tip; TT, triceps tendon.)