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

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

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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)