Chapter

Normal and Pathological Anatomy of the Shoulder

pp 381-392

Anterior Surgical Approaches to the Shoulder

  • Mark RossAffiliated withBrisbane Hand and Upper Limb Research InstituteOrthopaedic Department, Princess Alexandra HospitalSchool of Medicine, The University of Queensland Email author 
  • , Kieran HirparaAffiliated withBrisbane Hand and Upper Limb Research InstituteOrthopaedic Department, Princess Alexandra Hospital
  • , Miguel PinedoAffiliated withOrthopaedic Department, Clínica Las Condes
  • , Vicente GutierrezAffiliated withOrthopaedic Department, Clínica Las Condes

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Abstract

The majority of shoulder surgery is performed via the anterior or anterolateral aspect of the shoulder joint. The deltopectoral approach is the workhouse approach to the shoulder for use in shoulder stabilisation, arthroplasty and fracture fixation. There are several modifications to this approach to increase exposure, such as coracoid or clavicle osteotomy or anterior deltoid release. A detailed discussion of the surgical anatomy is presented with diagrammatic representation of the key points. The important neurovascular anatomy for the various extensile procedures and manoeuvres aimed at releasing the joint are also discussed in detail.

Keywords

Shoulder approach Shoulder arthroplasty Delto-pectoral Deltoid splitting Clavicle osteotomy