Technorati Tags: surgical Approaches,shoulder
| Approach | Skin incision | Superficial interval | Deep interval | Risks |
| Anterior(Henry) | 10-15cm incision in line of delto-pectoral groove from tip of coracoid or anterior axillary skin fold incision | deltoid (axillary)& pectoralis major ( medial and lateral pectoral ) | Medial retraction of conjoint tendon or coracoid tip osteotomy + subscapularis tenotomy + glenohumeral capsulotomy | Musculocutaneus nerve axillary nerve second part of axillary artery Cephalic vein |
| Anterolateral | transverse, from anterolateral corner of acromion to just lateral to coracoid process | detach deltoid from AC joint & 1cm of anterior aspect of acromion + split deltoid for 5 cm | detach coracoacromial ligament from both ends & excise | Axillary nerve |
| Lateral | 5cm long incision from the tip of the acromion down the lateral aspect of the arm | split deltoid in line with its fibres from acromion down for 5 cm | acromion could be split in coronal plane to expose full length of supraspinatus | Axillary nerve lies 7cm from tip of the acromion |
| Posterior | linear incision along entire length of spine of scapula extending to posterior corner of acromion | detach deltoid from scapular spine + develop plane in deltoid & infraspinatus + retract deltoid inferiorly | teres minor (Axillary) & infra-spinatus (Supra-scapular) | Axillary nerve & posterior circumflex artery in quadrangular space suprascapular nerve |
0 comments:
Post a Comment