Review Question - QID 217971

Figure A is an MRI of a 42-year-old male who presents to your office with complaints of elbow pain. He was recently diagnosed with inflammatory arthritis. He has failed an extensive course of nonoperative management and is interested in proceeding with surgical intervention. On examination, he has relatively preserved motion of the elbow, with pain in the elbow, forearm and wrist. He demonstrates ipsilateral wrist and thumb extension weakness. No instability of the elbow is appreciated. Which of the following would be the most appropriate treatment for this patient?