ABORDAJE DELTOPECTORAL PDF

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Shoulder Anterior (Deltopectoral) Approach

Remember the axillary nerve just distal to the subscapularis and medial to the proximal humerus. Retract the cephalic vein laterally or medially, and open along the groove. The coracoid is repaired with a screw or sutures placed through deltopectooral drill hole. L8 – 10 years in practice. In any case, the cephalic vein should be preserved in order to reduce the surgical edema of the limb.

Identify the coracoid process and the conjoined tendon. Placement of a drainage underneath the deltoid muscle abodaje be considered. This approach is also highly recommend for revision surgery.

The musculocutaneous nerve enters the coracobrachialis muscle as close as 2. For an arthroplasty, a rather vertical incision may be abordahe dashed line. Contact Disclaimer AO Foundation.

The sulcus is slightly more pronounced and in cases of revision surgery less scared. Access is improved by doing an osteotomy of the coracoid process to allow reflection avordaje the coraco-brachialis and biceps muscles. Abirdaje an arthroplasty, a ddeltopectoral vertical incision may be preferred dashed line. L7 – years in practice. American Shoulder and Elbow Surgeons. Further neurovascular structures, eg, the brachial plexus, are only at risk if there is a rigorous retraction.

Core Tested Community All. Drill the coracoid first for later fixation. Reflect the subscapularis from the underlying joint capsule and enter the joint through a vertical capsulotomy, medial to the lateral stump of subscapularis. In any case, the cephalic vein should be preserved in order to reduce the surgical edema of the limb. If retracted laterally, the anatomical drainage of blood from the deltoid muscle is respected but it is at risk of damage by retractors during surgery.

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Please login to add comment. Satisfactory reduction of anatomical neck fractures eg, C1. Hemorrhagic bursa tissue has to be resected if needed.

The sulcus is slightly more pronounced and in cases of revision surgery less scared. Satisfactory reduction of anatomical neck fractures eg, C1. Retract the cephalic vein laterally or medially, and open along the groove.

Make a cm long skin incision between the coracoid process and the proximal humeral shaft. Incise the clavipectoral fascia lateral to the conjoined tendon and inferior the coracoacromial ligament.

Retract the deltoid muscle laterally using deltopectorl delta modified Hohmann retractor and the conjoint tendon medially using a Langenbeck retractor. The anterior deltopectoral approach can be used for almost any proximal humeral fracture treatment and is often the preferred approach.

Retractors placed under the conjoined tendon can abordahe neuropraxia; therefore vigorous retraction must be avoided.

Indication The anterior deltopectoral approach can be used for almost any proximal humeral fracture treatment and is often deltopdctoral preferred approach. Further neurovascular structures, eg, the brachial plexus, are only at risk if there is a rigorous retraction. Take care regarding the musculocutaneous nerve and underlying brachial plexus. L6 – years in practice. Incise the clavipectoral fascia lateral to the conjoined tendon and inferior the coracoacromial ligament.

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Close the deltopectoral groove, the subcutaneous tissues and the skin.

Shoulder Anterior (Deltopectoral) Approach – Approaches – Orthobullets

The musculocutaneous nerve enters the biceps cm distal to the coracoid process; retraction of the conjoint tendon must be done with care. Retract the deltoid muscle laterally using a delta modified Hohmann retractor and the conjoint tendon medially using a Langenbeck retractor. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

The subscapularis tendon is identified and divided vertically lateral to the musculotendinous junction. Expose the proximal humerus and confirm the anatomical landmarks subscapularis tendon, lesser tuberosity, bicipital groove with the bicipital tendon and the greater tuberosity.

Hemorrhagic bursa tissue has to be resected if needed.

Expose the proximal humerus and confirm the anatomical landmarks subscapularis tendon, lesser tuberosity, bicipital groove with the bicipital tendon and the greater tuberosity. How important is this topic for clinical practice? The arthrotomy is repaired by suture closure of the capsule and then the subscapularis.