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Related Experiment Videos

Posterior shoulder approach.

L A Norwood, J A Matiko, G C Terry

    Clinical Orthopaedics and Related Research
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    A novel posterior shoulder surgical approach offers excellent exposure for complex repairs. This technique successfully treated rotator cuff tears and posterior instability in 42 patients without complications.

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    Area of Science:

    • Orthopedic Surgery
    • Anatomy
    • Surgical Techniques

    Background:

    • The posterior shoulder presents unique anatomical challenges for surgical access.
    • Traditional anterior and superior approaches offer limited visualization of the superior and posterior aspects of the shoulder joint.
    • Effective surgical management of posterior shoulder pathologies requires optimal exposure.

    Purpose of the Study:

    • To describe and evaluate a combined posterior shoulder surgical approach.
    • To assess the efficacy and safety of this approach for treating specific shoulder conditions.

    Main Methods:

    • A combined surgical technique involving subperiosteal detachment of the deltoid (McWhorter) and lateral deltoid splitting (Codman).
    • Glenohumeral joint access achieved superiorly (between supraspinatus and infraspinatus) or inferiorly (between infraspinatus and teres minor).

    Related Experiment Videos

  • Application of the approach in 42 shoulders with rotator cuff tears or posterior instability.

    • Main Results:

    • The combined approach provided excellent exposure of the superior and posterior shoulder.
    • No complications were reported, including infection, deltoid healing failure, or neurovascular compromise (suprascapular or axillary nerves).
    • Successful application in patients with rotator cuff tears and posterior instability.

    Conclusions:

    • This combined posterior shoulder surgical approach is safe and effective.
    • It offers superior visualization compared to anterior or superior methods.
    • The technique is suitable for repairing rotator cuff tears, addressing posterior instability, and managing posterior glenoid fractures.