A Reverse Judet approach to the scapula
Fractures of the scapular body that extend to involve the neck and glenoid articular surface with a large gap pose a significant problem for surgical exposure. Several surgical approaches for scapula fixation have been described, but all give limited exposure to the entire scapular body, neck and articular surface. Here, we describe our ‘Reverse Judet’ technique, with cadaveric dissections and discuss a clinical case. We believe this approach gives a wide exposure of the infraspinous scapular body, neck and glenoid articular surface while keeping away from vital neural structures.
KeywordsScapula Fracture Fixation Surgical approach Judet
There is no funding source. The authors did not receive any outside funding or grants in support of their research or preparation of this work. Neither they nor any member of their immediate families received payments or other benefits, or a commitment or agreement to provide such benefits from a commercial entity. This paper was not presented at any meeting and no funding was received for this work.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee. For this type of retrospective study formal consent is not required.
- 1.Nordqvist A, Petersson C (1992) Fracture of the body, neck, or spine of the scapula. A long-term follow-up study. Clin Orthop Relat Res 283:139–144Google Scholar
- 5.Bestard EA, Schvene HR, Bestard EH (1986) Glenoplasty in the management of recurrent shoulder dislocation. Contemp Orthop 12:47–55Google Scholar
- 9.Norwood LA, Matiko JA, Terry GC (1985) Posterior shoulder approach. Clin Orthop Relat Res 201:167–172Google Scholar
- 13.Wirth MA, Butters KP, Rockwood CA Jr (1993) The posterior deltoid-splitting approach to the shoulder. Clin Orthop Relat Res 296:92–98Google Scholar