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Exposing the glenoid in shoulder arthroplasty

Glenoid exposure should offer frontal access to the glenoid to allow the ancillary tools to be used freely and thus facilitate the good positioning of the glenoid implant. The two classically recognized approaches for shoulder arthroplasty are the deltopectoral and the transdeltoid approach. The axi...

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Autor principal: Nové-Josserand, Laurent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598611/
https://www.ncbi.nlm.nih.gov/pubmed/31312516
http://dx.doi.org/10.1302/2058-5241.4.180057
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author Nové-Josserand, Laurent
author_facet Nové-Josserand, Laurent
author_sort Nové-Josserand, Laurent
collection PubMed
description Glenoid exposure should offer frontal access to the glenoid to allow the ancillary tools to be used freely and thus facilitate the good positioning of the glenoid implant. The two classically recognized approaches for shoulder arthroplasty are the deltopectoral and the transdeltoid approach. The axillary nerve is the most important anatomical structure in the glenoid, passing down the anterior part of the subscapularis, the inferior pole of the joint and the deep face of the deltoid muscle. Inferior glenohumeral release is the key step that allows the humerus to be retracted back or downwards thereby exposing the glenoid face on. In difficult and stiff cases, once pectoralis major release, osteophyte resection and posterior capsulectomy have been performed, a compression fracture, produced by using a retractor to push against the upper extremity of the humerus, can provide the extra few millimetres of space required to use the ancillary tools without hindrance. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180057
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spelling pubmed-65986112019-07-16 Exposing the glenoid in shoulder arthroplasty Nové-Josserand, Laurent EFORT Open Rev Instructional Lecture: Shoulder & Elbow Glenoid exposure should offer frontal access to the glenoid to allow the ancillary tools to be used freely and thus facilitate the good positioning of the glenoid implant. The two classically recognized approaches for shoulder arthroplasty are the deltopectoral and the transdeltoid approach. The axillary nerve is the most important anatomical structure in the glenoid, passing down the anterior part of the subscapularis, the inferior pole of the joint and the deep face of the deltoid muscle. Inferior glenohumeral release is the key step that allows the humerus to be retracted back or downwards thereby exposing the glenoid face on. In difficult and stiff cases, once pectoralis major release, osteophyte resection and posterior capsulectomy have been performed, a compression fracture, produced by using a retractor to push against the upper extremity of the humerus, can provide the extra few millimetres of space required to use the ancillary tools without hindrance. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180057 British Editorial Society of Bone and Joint Surgery 2019-06-03 /pmc/articles/PMC6598611/ /pubmed/31312516 http://dx.doi.org/10.1302/2058-5241.4.180057 Text en © 2019 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Instructional Lecture: Shoulder & Elbow
Nové-Josserand, Laurent
Exposing the glenoid in shoulder arthroplasty
title Exposing the glenoid in shoulder arthroplasty
title_full Exposing the glenoid in shoulder arthroplasty
title_fullStr Exposing the glenoid in shoulder arthroplasty
title_full_unstemmed Exposing the glenoid in shoulder arthroplasty
title_short Exposing the glenoid in shoulder arthroplasty
title_sort exposing the glenoid in shoulder arthroplasty
topic Instructional Lecture: Shoulder & Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598611/
https://www.ncbi.nlm.nih.gov/pubmed/31312516
http://dx.doi.org/10.1302/2058-5241.4.180057
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