An Anatomic Study of Inferior Glenohumeral Recess Portals: Comparative Anatomy at Risk

Arthroscopy - Journal of Arthroscopic and Related Surgery

Volumn 24, Issue 5, 2008, Pages 506-513

  Bhatia, Deepak N ^a,b   de Beer, Joe F ^a   duToit, Donald F ^b  

^a Cape Shoulder Institute   (South Africa)

^b STELLENBOSCH UNIVERSITY   (South Africa)

Author keywords

Accessory posterior portal; Axillary nerve; Axillary pouch portal; Posteroinferior portal; Shoulder arthroscopy; Suprascapular nerve

Indexed keywords

ACROMION; ADOLESCENT; ADULT; AGED; ARTICLE; AXILLARY NERVE; CADAVER; COMPARATIVE ANATOMY; DELTOID MUSCLE; HUMAN; HUMAN TISSUE; INFERIOR GLENOHUMERAL RECESS; MUSCLE; NEEDLE; NERVE; NERVE INJURY; SHOULDER; SHOULDER ARTHROSCOPY; SOFT TISSUE; STATISTICAL ANALYSIS; SUPRASCAPULAR NERVE; SURGICAL RISK; TERES MINOR MUSCLE;

ARTHROSCOPY; HUMANS; MUSCLE, SKELETAL; NERVOUS SYSTEM; RISK FACTORS; SHOULDER JOINT; TENDONS; TRAUMA, NERVOUS SYSTEM;

EID: 42749087253     PISSN: 07498063     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.arthro.2007.11.018     Document Type: Article

References (16)

1. DiFelice G.S., Williams III R.J., Cohen M.S., and Warren R.F. The accessory posterior portal for shoulder arthroscopy: Description of technique and cadaveric study. Arthroscopy 17 (2001) 888-891
2. Davidson P.A., and Rivenburgh D.W. The 7-o'clock posteroinferior portal for shoulder arthroscopy. Am J Sports Med 30 (2002) 693-696
3. Lo I.K.Y., Lind C.C., and Burkhart S.S. Glenohumeral arthroscopy portals established using an outside-in technique: Neurovascular anatomy at risk. Arthroscopy 20 (2004) 596-602
4. Bhatia D.N., and de Beer J.F. The axillary pouch portal: A new posterior portal for visualization and instrumentation in the inferior glenohumeral recess. Arthroscopy 23 (2007) 1241.e1-1241.e5. www.arthroscopyjournal.org
5. Chhabra A., Diduch D.R., and Anderson M. Arthroscopic repair of a posterior humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion. Arthroscopy 20 (2004) 73-76
6. Davidson P.A., and Tibone J.E. Anterior-inferior (5 o'clock) portal for shoulder arthroscopy. Arthroscopy 11 (1995) 519-525
7. Pearsall A.W., Holovacs T.F., and Speer K.P. The low anterior five o'clock portal during arthroscopic shoulder surgery performed in the beach-chair position. Am J Sports Med 27 (1999) 571-574
8. Detrisac D.A., and Johnson L.L. Arthroscopic shoulder anatomy: Pathologic and surgical implications (1986), SLACK Incorporated, Thorofare (NJ)
9. Ball C.M., Steger T., Galatz L.M., and Yamaguchi K. The posterior branch of the axillary nerve: An anatomic study. J Bone Joint Surg Am 85 (2003) 1497-1501
10. Burkhead Jr. W.Z., Scheinberg R.R., and Box G. Surgical anatomy of the axillary nerve. J Shoulder Elbow Surg 1 (1992) 31-36
11. Duparc F., Bocquet G., Simonet J., and Freger P. Anatomical basis of the variable aspects of injuries of the axillary nerve (excluding the terminal branches in the deltoid muscle). Surg Radiol Anat 19 (1997) 127-132
12. Cetik O., Uslu M., Acar H.I., Comert A., Tekdemir I., and Cift H. Is there a safe area for the axillary nerve in the deltoid muscle?. A cadaveric study. J Bone Joint Surg Am 88 (2006) 2395-2399
13. Gelber P.E., Reina F., Monllau J.C., Yema P., Rodriguez A., and Caceres E. Innervation patterns of the inferior glenohumeral ligament: Anatomical and biomechanical relevance. Clin Anat 19 (2006) 304-311
14. Skyhar M.J., Altchek D.W., Warren R.F., Wickiewicz T.L., and O'Brien S.J. Shoulder arthroscopy with the patient in the beach-chair position. Arthroscopy 4 (1988) 256-259
15. Peterson II C.A., Altchek D.W., and Warren R.W. Shoulder arthroscopy. In: Rockwood Jr. C.A., Matsen F.A., Wirth M.A., and Harryman II D.T. (Eds). The shoulder. Ed 2 (1998), WB Saunders, Philadelphia 290-335
16. Meyer M., Graveleau N., Hardy P., and Landreau P. Anatomic risks of shoulder arthroscopy portals: Anatomic cadaveric study of 12 portals. Arthroscopy 23 (2007) 529-536