Top Banner
Orthop. Traumatol. 2:71-77.(1993) Lennard Funk Donald B Mackenzie. The Antero-superior Approach for Total Shoulder Replacement.
18

Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Mar 25, 2021

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Lennard Funk

Donald B Mackenzie. The Antero-superior Approach for Total Shoulder Replacement.

Page 2: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

!   Circuitous route to Glenoid

!   Difficult access to Posterior & Superiorly displaced Tuberosities

!   Rotator interval may be difficult to identify adequately

!   CHL release may be difficult

!   Cephilic vein & Deltoid branch of Thoracoacromial artery -

troublesome

Page 3: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

!  Direct route to Glenoid

!  Easy access to Posterior & Superiorly displaced Tuberosities

!  Direct access through Rotator interval

!  CHL release

!  Cephilic vein & Deltoid branch of Thoracoacromial artery not

violated

Page 4: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

•  Stay in Bursa •  Know Anatomy •  Identify Nerve (vision / palpation) •  Stay Suture

Page 5: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 6: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 7: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 8: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 9: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 10: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 11: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 12: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 13: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 14: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 15: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 16: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 17: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)

Page 18: Lennard Funk - ShoulderDoc · M. deltoideus part med. Caput longum / M. biceps brachii / Route of antero-superior exposure part post. M. infraspinatus Scapula M. subscapularis Humerus

Orthop. Traumatol. 2:71-77.(1993)