ABORDAJE DELTOPECTORAL PDF

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Hemorrhagic bursa tissue has to be resected if needed.

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.

How important is this topic for clinical practice? Take care regarding the musculocutaneous nerve and underlying brachial plexus. Retract the deltoid muscle laterally using aboraje delta modified Hohmann retractor and the conjoint tendon medially using a Langenbeck retractor. Remember the axillary nerve just distal to the subscapularis and medial to the proximal humerus.

Core Tested Community All. Bluntly dissect between and under the deltoid and pectoralis muscles down to expose the clavipectoral fascia.

AO Surgery Reference

Take care regarding the musculocutaneous nerve and underlying brachial plexus. Anatomical landmarks for the anterior deltopectoral approach are: For an arthroplasty, a rather vertical incision may be preferred dashed line.

Indications shoulder arthroplasty proximal humerus fractures reconstruction of recurrent dislocations long head of the biceps injury septic glenohumeral joint. Indication The anterior deltopectoral approach can be used for almost any proximal humeral fracture treatment and is often the preferred approach. Retract the cephalic vein laterally or medially, and open along the groove.

How important is this topic for board examinations? The coracoid is repaired with a screw or sutures placed through the drill hole. Retractors placed under the conjoined tendon can cause neuropraxia; therefore vigorous retraction must be avoided. The Shoulder Anterior Deltopectoral Approach is indication in: Deltopectoal Coracoid process B Proximal humeral shaft on the level of the axilla. Failure to find the deltopectoral groove can lead to difficulty in dissection of the deltoid and possibly to denervation of the anterior portion of the deltoid.

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Hemorrhagic bursa tissue has to be resected if needed.

Drill the coracoid first for later fixation. Satisfactory reduction of anatomical neck fractures eg, C1. The musculocutaneous nerve enters the biceps cm distal to the coracoid process; retraction of the conjoint tendon must be done with care.

Drill the coracoid first for later fixation. Retractors placed under the conjoined deltopechoral can cause neuropraxia; therefore vigorous retraction must be avoided. A Coracoid process B Proximal humeral shaft on the level of the axilla. Remember the axillary nerve just distal to the subscapularis and medial to the proximal humerus.

Shoulder Anterior (Deltopectoral) Approach

Bluntly dissect between and under the deltoid and pectoralis muscles down to expose the clavipectoral fascia. This approach is also highly recommend for revision surgery. Further neurovascular structures, eg, the brachial plexus, are only at risk if there is a rigorous retraction.

Evaluate the fracture morphology. Internervous plane deltoid muscle axillary nerve.

Shoulder Anterior (Deltopectoral) Approach – Approaches – Orthobullets

Access is improved by doing an osteotomy of the coracoid process to allow reflection of the coraco-brachialis and biceps muscles. Satisfactory reduction of anatomical neck fractures eg, C1. American Shoulder and Elbow Surgeons. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

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The sulcus is slightly more pronounced and in cases of revision surgery less scared. Please vote below and help us build the most advanced adaptive learning platform in medicine. Overview this approach can be a fairly extensile exposure, allowing access to the anterior, medial, and lateral aspects of the shoulder. This approach is also highly recommend for revision surgery.

The sulcus is slightly more pronounced and in cases of revision surgery less scared. L8 – 10 years in practice.

The musculocutaneous nerve enters the coracobrachialis muscle as close as 2. Thank you for rating! The subscapularis tendon is identified and divided vertically lateral to the musculotendinous junction. Indication The anterior deltopectoral approach can be used for almost any proximal humeral fracture treatment and is often the preferred approach. In any case, the cephalic vein should be preserved in order to reduce the surgical edema of the limb.

Make a cm long skin incision between the coracoid process and the proximal humeral shaft. The anterior deltopectoral approach can be used for almost any proximal humeral fracture treatment and is often the preferred approach.

L6 – years in practice.