Shoulder anterior approach: Delto-Pectoral



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Waymarkers:

  • Develop plane between brachioradialis – the mobile wad (radial nerve) and flexor carpi radialis (median nerve)

  • Start distal to proximal identify superficial radial nerve under brachioradialis and ligate branches of radial nerve to aid lateral retraction of brachioradialis

  • Proximately the bursa on the radial aspect of the biceps tendon can be incised to gain access (the radial artery lies ulnar side of biceps tendon TAN)

  • Proximal 1/3

  • Middle 1/3

    • Pronate to bring into view pronator teres and incise and mobilise from radially to ulnar.

  • Distal 1/3

Important Notes:

Dorsal Approach: Thompson’s Approach

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