The extended deltoid-splitting approach to the proximal humerus

Journal of Orthopaedic Trauma

Volumn 21, Issue 9, 2007, Pages 657-662

  Robinson, C Michael ^a   Khan, Lukman ^a   Akhtar, Adeel ^a   Whittaker, Roger ^a  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

Author keywords

3 part fracture; 4 part fracture; Deltoid splitting approach; Fracture; Humerus; Proximal humerus; Surgical approach

Indexed keywords

ADULT; AGED; ARTICLE; AXILLARY NERVE; BONE GRAFT; DELTOID MUSCLE; FEMALE; FRACTURE FIXATION; HUMAN; HUMERUS FRACTURE; INCISION; MAJOR CLINICAL STUDY; MALE; NERVE; NEUROPROTECTION; OPEN REDUCTION; ORTHOPEDIC SURGERY; PECTORAL MUSCLE; PRIORITY JOURNAL; SURGICAL APPROACH; SURGICAL TECHNIQUE;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; FRACTURE FIXATION, INTERNAL; HUMANS; MALE; MIDDLE AGED; MUSCLE, SKELETAL; ORTHOPEDIC PROCEDURES; SHOULDER; SHOULDER FRACTURES;

EID: 35148896843     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e3180ce833e     Document Type: Article

References (32)

1. Wijgman AJ, Roolker W, Patt TW, et al. Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus. J Bone Joint Surg Am. 2002;84:1919-1925.
2. Gerber C, Werner CM, Vienne P. Internal fixation of complex fractures of the proximal humerus. J Bone Joint Surg Br. 2004;86:848-855.
3. Robinson CM, Page RS, Hill RM, et al. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003;85:1215-1223.
4. Kralinger F, Schwaiger R, Wambacher M, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Joint Surg Br. 2004l86:217-219.
5. Abbott L, Dec J, Saunders J, et al. Surgical approaches to the shoulder joint. J Bone Joint Surg Am. 1949;31:235-255.
6. Lill H, Hepp P, Rose T, et al. [The angle stable locking-proximal- humerusplate (LPHP) for proximal humeral fractures using a small anterior-lateral-deltoid-splitting-approach - technique and first results]. Zentralbl Chir. 2004;129:43-48.
7. Flatow E, Cuomo F, Maday MG, et al. Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg Am. 1991;73:1213-1217.
8. Kontakis GM, Steriopoulos K, Damilakis J, et al. The position of the axillary nerve in the deltoid muscle. A cadaveric study. Acta Orthop Scand. 1999;70:9-11.
9. Burkhead WJ, Scheinberg RBG. Surgical anatomy of the axillary nerve. J Shoulder Elbow Surg. 1992;1:31-36.
10. Kulkarni RR, Nandedkar AN, Mysorekar VR. Position of the axillary nerve in the deltoid muscle. Anat Rec. 1992;232:316-317.
11. Cetik O, Uslu M, Acar HI, et al. Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study. J Bone Joint Surg Am. 2006;88:2395-2399.
12. Wallace WA, Hellier M. Improving radiographs of the injured shoulder. Radiography. 1983;49:229-233.
13. Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am. 2004;86:143-155.
14. Borges AF. Relaxed skin tension lines. Dermatol Clin. 1989;7:169-177.
15. Hallock GG. The hemideltoid muscle flap. Ann Plast Surg. 2000;44:18-22.
16. Munnoch DA, Herbert KJ, Morris AM, et al. The deltoid muscle flap: anatomical studies and case reports. Br J Plast Surg. 1996;49:310-314.
17. Hue E, Gagey O, Mestdagh H, et al. The blood supply of the deltoid muscle. Application to the deltoid flap technique. Surg Radiol Anat. 1998;20:161-165.
18. Hertel R, Hempfing A, Stiehler M, et al, Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004;13:427-433.
19. Robinson CM, Khan LA, Akhtar MA. Treatment of anterior fracture-dislocations of the proximal humerus by open reduction and internal fixation. J Bone Joint Surg Br. 2006;88:502-508.
20. Robinson CM, Aderinto J. Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am. 2005;87:639-650.
21. Robinson CM, Akhtar MA, Mitchell MJ, et al. Complex posterior fracture-dislocations of the shoulder: epidemiology, injury patterns and the results of operative treatment. J Bone Joint Surg Am. 2007;(In press).
22. Edelson G, Kelly I, Vigder F, et al. A three-dimensional classification for fractures of the proximal humerus. J Bone Joint Surg Br. 2004;86:413-425.
23. Court-Brown CM, Garg A, McQueen MM. The translated two-part fracture of the proximal humerus. Epidemiology and outcome in the older patient. J Bone Joint Surg Br. 2001;83:799-804.
24. Zyto K, Ahrengart L, Sperber A, et al. Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br. 1997;79:412-417.
25. Zyto K, Wallace WA, Frostick S, et al. Outcomes in hemiarthroplasty for three and four part fractures of the proximal humerus. J Shoulder Elbow Surg. 1998;7:85-89.
26. Mackenzie D. The Antero-superior Exposure for Total Shoulder Replacement. Orthop Traumatol. 1993;2:71-77.
27. Copeland S, Levy O, Brownlaw HC. Resurfacing arthroplasty of the shoulder. Tech Shoulder Elbow Surg. 2003;4:199-210.
28. Flatow EL, Cuomo F, Maday MG, et al. Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg Am. 1991;73:1213-1218.
29. Levy O, Copeland SA. Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br. 2001;83:213-221.
30. Gardner MJ, Griffith MH, Dines JS, et al. The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus. Clin Orthop Relat Res. 2005;434:123-129.
31. Gardner MJ, Griffith MH, Dines JS, et al. A minimally invasive approach for plate fixation of the proximal humerus. Bull Hosp Joint Dis. 2004;62:18-23.
32. Gardner MJ, Voos JE, Wanich T, et al. Vascular implications of minimally invasive plating of proximal humerus fractures. J. Orthop Trauma. 2006;20:602-607.