Clin Should Elbow.  2019 Jun;22(2):110-112. 10.5397/cise.2019.22.2.110.

Subscapular and Pectoralis Major Sparing Deltopectoral Approach for Reverse Total Shoulder Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea. mdaky@hanmail.net

Abstract

In reverse ball shoulder replacement, surgery is usually performed using a deltopectoral approach or an anterosuperior transdeltoid approach. The deltopectoral approach is to incise the pectoralis major to upper 1/3 to 1/2, and subscapularis tendon should be removed at the lesser tuberosity of the humerus. This approach has the problem of breaking the shoulder deltoid instead of incising the rotator cuff. Therefore, we report a detailed procedure of reverse ball shoulder replacement using approach without incision of the pectoralis major muscle and subscapularis muscle.

Keyword

Reverse ball shoulder replacement; Deltopectoral approach; Anterosuperior transdeltoid approach

MeSH Terms

Arthroplasty*
Humerus
Rotator Cuff
Shoulder*
Tendons
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