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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
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Exposures of the shoulder and upper humerus
1Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University, 2500 Metrohealth Drive, Cleveland, OH 44109, USA.
Hand Clinics
|December 3, 2014
Summary
Achieving adequate shoulder and upper humerus exposure is crucial for trauma surgery. This article details various surgical approaches and nerve mobilization techniques for optimal access during complex fracture repair.
Area of Science:
- Orthopedic Surgery
- Surgical Anatomy
Background:
- Effective surgical access to the shoulder and upper humerus is vital for managing complex trauma.
- The deltopectoral approach is a standard method but may require distal extension for complete humerus exposure.
Purpose of the Study:
- To detail various surgical exposure methods for the shoulder and upper humerus.
- To describe extensile extensions of standard approaches for challenging fracture cases.
Main Methods:
- Review of anatomical considerations for shoulder and upper humerus exposures.
- Description of surgical techniques, including nerve mobilization strategies.
- Discussion of extensile approaches for wide exposure.
Main Results:
- The deltopectoral approach can be extended distally to provide access to the entire humerus.
- Knowledge of anatomy and nerve handling is essential for adequate exposure.
- Multiple exposure methods are available for the shoulder and upper humerus.
Conclusions:
- Comprehensive understanding of anatomical exposures is key for successful trauma surgery of the shoulder and upper humerus.
- Extensile approaches facilitate reduction of complex fractures and plate fixation on the lateral humerus.
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