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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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[Posterior approach to the shoulder].

Sandro F Fucentese1, Bernhard Jost

  • 1Departement für Orthopädische Chirurgie, Uniklinik Balgrist, Universität Zürich, Schweiz.

Operative Orthopadie Und Traumatologie
|August 17, 2010
PubMed
Summary
This summary is machine-generated.

This study details a safe surgical approach to the posterior shoulder and scapula, crucial for various shoulder reconstructions and fracture treatments. The technique demonstrated excellent outcomes with no approach-related complications in a patient cohort.

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Area of Science:

  • Orthopedic Surgery
  • Anatomy
  • Surgical Techniques

Background:

  • The posterior shoulder and scapula are critical anatomical regions requiring specialized surgical access.
  • Various pathologies, including instability, fractures, and tumors, necessitate direct surgical intervention in this area.

Purpose of the Study:

  • To describe a safe and effective surgical approach to the posterior shoulder and scapula.
  • To outline the indications, surgical technique, and outcomes associated with this approach.

Main Methods:

  • The approach involves identifying key landmarks such as the scapular spine and acromion.
  • Surgical dissection utilizes internervous planes, specifically between the infraspinatus and teres minor for glenoid access, and between teres minor and teres major for scapular neck access.
  • The deltoid muscle is carefully detached with a bony chip to expose the underlying structures.

Main Results:

  • A cohort of 24 patients (26 shoulders) with posterior instability underwent open posteroinferior capsular shift using this approach.
  • The average Constant-Murley Score was 91%, with 24 shoulders achieving good to excellent subjective results.
  • No approach-related complications, such as weakness or insufficiency, were reported.

Conclusions:

  • The described posterior surgical approach provides safe and reliable access to the posterior shoulder and scapula.
  • It is suitable for a range of indications, including stabilization, reconstruction, and fracture management.
  • The technique is associated with favorable clinical outcomes and a low complication rate.