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AO Surgery Reference
Incise the clavipectoral fascia lateral to baordaje conjoined tendon and inferior the coracoacromial ligament. Reflect the subscapularis from the underlying joint capsule and enter the joint through a vertical capsulotomy, medial to the lateral stump of subscapularis. Anatomical landmarks for the anterior deltopectoral approach are: The subscapularis tendon is identified and divided vertically lateral to the musculotendinous junction.
In any case, the cephalic vein should be preserved in order to reduce the surgical edema of the limb. Drill the coracoid first for later fixation.
Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Indication The anterior deltopectoral deltopectoeal can be used for almost any proximal humeral fracture treatment and is often the preferred approach.
The musculocutaneous nerve enters the coracobrachialis muscle as close as 2. In any case, the cephalic vein should be preserved in order to reduce the surgical edema of the limb.
Shoulder Anterior (Deltopectoral) Approach – Approaches – Orthobullets
Expose the proximal humerus and confirm the anatomical landmarks subscapularis tendon, lesser tuberosity, bicipital groove with the bicipital tendon and the greater tuberosity.
Close the deltopectoral groove, the subcutaneous tissues and the skin. Take care regarding the musculocutaneous nerve and underlying brachial plexus. For an aabordaje, a rather vertical incision may be preferred dashed line. Remember the axillary nerve just distal to the subscapularis and medial to the proximal humerus.
The Shoulder Anterior Deltopectoral Approach is indication in: Core Tested Community All. The musculocutaneous nerve enters the coracobrachialis muscle as close as 2. How important is this topic for clinical practice? Evaluate the fracture morphology.
Identify the coracoid process and the conjoined tendon.
L7 – years in practice. Thank you for rating! The musculocutaneous nerve enters the biceps cm distal to the coracoid process; retraction of the conjoint tendon must be done with care. This approach is also highly recommend for revision surgery. L6 – years in practice.
Retractors placed under the conjoined tendon can cause neuropraxia; therefore vigorous retraction must be avoided. Indications shoulder arthroplasty proximal humerus fractures reconstruction of recurrent dislocations long head of the biceps injury septic glenohumeral joint.
Anatomical landmarks for the anterior deltopectoral approach are: Close the deltopectoral groove, the subcutaneous tissues and the skin. The arthrotomy is repaired by suture closure of the capsule and then the subscapularis. Please vote below and agordaje us build the most advanced adaptive learning platform in medicine. American Shoulder and Elbow Surgeons.
Shoulder Anterior (Deltopectoral) Approach
Evaluate the fracture morphology. Make a cm long skin incision between the coracoid process and the proximal humeral shaft. Retract the deltoid muscle delotpectoral using a delta modified Hohmann retractor and the conjoint tendon medially using a Langenbeck retractor.