Shoulder anterior approach: Delto-Pectoral



Download 2.14 Mb.
Page5/9
Date conversion14.05.2018
Size2.14 Mb.
1   2   3   4   5   6   7   8   9

Surface markings:

  • From lateral side of olecranon towards radial styloid (whilst supinated)

Dangers:

Waymarkers

  • Aconeus (radial nerve) is fan shaped proximately and vertical distally

  • Elevate subperiosteally off ulna until radial head / neck exposed

Medial approach to elbow:

Surface markings:

  • Anteriorly directly in front of medial epicondyle

Dangers:

  • Ulnar nerve

Waymarkers:

  • Lift up corridor anterior to MCL fibres

  • MCL attached distal to medial epicondyle – access to this must lift off flexors from epicondyle

Anterior Approach to elbow

Surface markings:

  • Horizontal skin incision across skin crease

  • Proximal incision lateral to biceps tendon

  • Distal incision towards radial styloid

Dangers:

Waymarkers:

  • Incise supinator ulnarly to find insertion of biceps tendon on proximal radius

Triceps Split

Surface markings:

Dangers:

  • Ulnar nerve dissected out and protected if access is required to medial column

  • Median nerve – stay subperiosteal anteriorly will protect nerve

  • Radial nerve – runs 14-15cm proximal to lateral epicondyle as is travels from posterior to anterior compartments in the arm

Waymarkers:

Important Notes:

  • Distally the ulnar nerve is found between the 2 heads of FCU

FOREARM

1   2   3   4   5   6   7   8   9


The database is protected by copyright ©dentisty.org 2016
send message

    Main page