Clavicular osteotomy approach for difficult shoulder surgery
The deltopectoral surgical approach has long been the workhorse for the anterior approach to the shoulder joint. It was described early in the last century by Thompson (1918) and Henry (1927). Although this approach can be used for many surgical procedures, one of its drawbacks is difficulty in expo...
| Main Authors: | , |
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| Format: | Proceeding Paper |
| Language: | English |
| Published: |
2008
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/66313/ http://irep.iium.edu.my/66313/16/66313%20%20Clavicular%20Osteotomy%20Approach.PDF |
| _version_ | 1848786553120227328 |
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| author | Khalid, Kamarul Ariffin Mah, Edward T |
| author_facet | Khalid, Kamarul Ariffin Mah, Edward T |
| author_sort | Khalid, Kamarul Ariffin |
| building | IIUM Repository |
| collection | Online Access |
| description | The deltopectoral surgical approach has long been the workhorse for the anterior approach to the shoulder joint. It was described early in the last century by Thompson (1918) and Henry (1927). Although this approach can be used for many surgical procedures, one of its drawbacks is difficulty in exposing and visualizing the glenoid. It also gives limited access to the greater tuberosity and rotator cuff.
Redfern et al (1989) has described an anterior approach to the shoulder joint that incorporates the use of a clavicular osteotomy. Using this method the deltoid muscle can be reflected away to provide better exposure without compromising its integrity.
This paper reports the use of this approach in difficult shoulder cases where better exposure and visualization of the anatomy and pathology is required. Three 3 difficult shoulder conditions requiring surgical management, namely
glenoid fracture reconstruction, humeral head resurfacing and reverse total shoulder arthroplasty for a revision case; using this approach are described. The advantages and disadvantages of this approach are also discussed.
This is an approach that surgeons who regularly do shoulder surgery should consider as another alternative to be added to their armamentarium when dealing with difficult shoulder conditions. |
| first_indexed | 2025-11-14T17:10:52Z |
| format | Proceeding Paper |
| id | iium-66313 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:10:52Z |
| publishDate | 2008 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-663132018-10-08T02:40:50Z http://irep.iium.edu.my/66313/ Clavicular osteotomy approach for difficult shoulder surgery Khalid, Kamarul Ariffin Mah, Edward T RD701 Orthopedics The deltopectoral surgical approach has long been the workhorse for the anterior approach to the shoulder joint. It was described early in the last century by Thompson (1918) and Henry (1927). Although this approach can be used for many surgical procedures, one of its drawbacks is difficulty in exposing and visualizing the glenoid. It also gives limited access to the greater tuberosity and rotator cuff. Redfern et al (1989) has described an anterior approach to the shoulder joint that incorporates the use of a clavicular osteotomy. Using this method the deltoid muscle can be reflected away to provide better exposure without compromising its integrity. This paper reports the use of this approach in difficult shoulder cases where better exposure and visualization of the anatomy and pathology is required. Three 3 difficult shoulder conditions requiring surgical management, namely glenoid fracture reconstruction, humeral head resurfacing and reverse total shoulder arthroplasty for a revision case; using this approach are described. The advantages and disadvantages of this approach are also discussed. This is an approach that surgeons who regularly do shoulder surgery should consider as another alternative to be added to their armamentarium when dealing with difficult shoulder conditions. 2008 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/66313/16/66313%20%20Clavicular%20Osteotomy%20Approach.PDF Khalid, Kamarul Ariffin and Mah, Edward T (2008) Clavicular osteotomy approach for difficult shoulder surgery. In: Australian Orthopaedic Association - South Australian Branch Annual Scientific Meeting, 15th August 2008, Adelaide, South Australia, Australia. (Unpublished) |
| spellingShingle | RD701 Orthopedics Khalid, Kamarul Ariffin Mah, Edward T Clavicular osteotomy approach for difficult shoulder surgery |
| title | Clavicular osteotomy approach for difficult shoulder surgery |
| title_full | Clavicular osteotomy approach for difficult shoulder surgery |
| title_fullStr | Clavicular osteotomy approach for difficult shoulder surgery |
| title_full_unstemmed | Clavicular osteotomy approach for difficult shoulder surgery |
| title_short | Clavicular osteotomy approach for difficult shoulder surgery |
| title_sort | clavicular osteotomy approach for difficult shoulder surgery |
| topic | RD701 Orthopedics |
| url | http://irep.iium.edu.my/66313/ http://irep.iium.edu.my/66313/16/66313%20%20Clavicular%20Osteotomy%20Approach.PDF |