In 1993 A. Dubuisson et al. describe a posterior subscapular approach to treating different forms of lesions of the trunks of the brachial plexus in detail. However, during a surgical intervention, the authors encountered some inconveniences hampering the course of an operation. Therefore they modified the above approach, by changing a patient's position on the operating table and the line and shape of a skin incision, and used a current system of retractors. Fifteen patients were operated on, by applying the modified posterior subscapular approach. The authors arrived at the conclusion that this approach substantially facilitates surgical manipulations, provides a good imaging of neurovascular and osseous structures, by protecting them against unnecessary traumatism, noticeably decreases the duration of a surgical intervention, and reduces the risk of postoperative complications.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Rare bilateral vascular variations of the upper limb: a cadaveric case study.
J Cardiothorac Surg
December 2024
Centre for Human Anatomy Education, Department of Anatomy and Developmental Biology, Biomedical Discovery Institute, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia.
Arterial variations in the upper limb are of significant clinical importance, especially in procedures such as venepunctures, coronary artery bypass grafts, trauma reconstructive surgeries, brachial plexus nerve blocks, and breast reconstructions. This report presents previously undocumented arterial variations in the upper limbs in a 95-year-old female cadaveric donor. We observed bilateral superficial ulnar arteries originating at the cubital fossa, deviating from the previously reported origin at the proximal brachial artery.
View Article and Find Full Text PDFFar Posterior Approach for Rib Fracture Fixation: Surgical Technique and Tips.
JBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
Article Synopsis
- The video article discusses the far posterior or paraspinal approach for treating posterior rib fractures, which enhances intraoperative visibility and minimizes muscle damage.
- This method helps preserve periscapular strength, achieving up to 95% recovery six months after surgery through muscle-sparing techniques.
- The surgical process involves precise skin incision and careful dissection of muscles like the trapezius, rhomboids, and latissimus dorsi to allow for effective access and treatment of the fractures without significant tissue loss.
Sectional measurements of shoulder muscle volume and computed tomography density in anterior shoulder instability.
Sci Rep
November 2024
Department of Radiology, Saitama Medical University, 38 Morohongou, Moroyama-machi, Iruma-gun, Saitama, Japan.
In patients with anterior shoulder instability (ASI), a chronic imbalance might exist between the anterior and posterior shoulder muscles (i.e., subscapular [Ssc] vs.
View Article and Find Full Text PDFOpen Bankart Repair with Subscapularis Split.
JBJS Essent Surg Tech
September 2024
Duke University Medical Center, Durham, North Carolina.
Article Synopsis
- Anterior shoulder dislocations are prevalent among young, active males, and open Bankart repair is recommended for recurrent instability due to its lower recurrence rates and quicker recovery compared to arthroscopic methods.
- The open surgery involves a specific technique where the subscapularis tendon is "spared" by splitting it to minimize damage during repair, while a capsulotomy allows access to the joint for proper labrum repair using suture anchors.
- Indications for this surgical approach include failed previous arthroscopic repair, multiple dislocations, and situations involving subcritical bone loss, especially in individuals engaged in high-risk sports.
The High Resistance Loop (H-Loop) Technique for Arthroscopic Repair of Subscapularis.
Arthrosc Tech
June 2024
Department of Orthopedics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
The subscapularis tendon is more challenging and riskier to repair than the posterior upper rotator cuff. The knotless anchor suture in subscapularis repair simplified the repair process and had an excellent postoperative effect. We describe a new knotless anchor stitching method, the H-Loop technique.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!