Superficial vessels are numerous; attention must be paid to these to facilitate visualization. Approaches | Shoulder Anterolateral Approach. The coracoacromial ligament is then released from the acromion, The ligament can be excised by releasing it from the coracoid as well, The subacromial bursa is now seen and can be excised to reveal rotator cuff pathology, This nerve runs transversely across the surface of the deltoid muscle approximately 7 cm distal to the acromion. Events. An incision is made along the anterolateral edge of the shoulder, generally starting at the coracoid. Bullets 0 Questions 3 Evidence 4 Video/Pods 2 Introduction Provides exposure to acetabulum proximal femur Indications include THR minimally invasive approach does not improve post-op gait kinematics when compared to traditional trans-gluteal approach Limit hip extension to 10-degrees Return to recreational sport When achieves sufficient hip mobility and gluteal strength and physician clearance Lifetime restriction of high impact activities Recommend outpatient PT start date at 10-14 days post-operative Advancement of HEP Review Topic. 0. The coracoacromial ligament is then released from the acromion, The ligament can be excised by releasing it from the coracoid as well, The subacromial bursa is now seen and can be excised to reveal rotator cuff pathology, This nerve runs transversely across the surface of the deltoid muscle approximately 7 cm distal to the acromion. (deltoid split proximally to the axillary nerve). Kocher-Langenbeck . Minimally invasive surgery (MIS) performed through theanterolateral approach potentially leads to a reduction inoperative trauma through lower blood loss with a smallersoft tissue wound, a reduction in post-operative pain, andearlier mobilisation accomplished by preserving muscleinsertions. 0. An incision is made along the anterolateral edge of the shoulder, generally starting at the coracoid. The direct head of the rectus femoris is ideally maintained. Anterolateral Approach to Hip Joint: (Watson Jones) - See: Smith Peterson Approach - Discussion: - major problems with the Watson Jones technique are dealing w/ gluteus medius & minimus, which lie over anteior capsule and must be damaged or cut to obtain adequate exposure; The anterior approach to the hip for arthroplasty in the supine position is the distal aspect of the Smith-Petersen approach. The superficial fascia is encountered and incised, Superficial vessels are numerous; attention must be paid to these to facilitate visualization, The deltoid is then sharply released from the acromion or clavicle, depending on area of surgical need, This should be limited, as deltoid repair is often difficult, The acromial branch of the thoracoacromial artery must be ligated when encountered deep to the deltoid, near the acromioclavicular joint, Acromial branch of the thoracoacromial artery, Shoulder Anterior (Deltopectoral) Approach, Shoulder Lateral (Deltoid Splitting) Approach, Shoulder Arthroscopy: Indications & Approach, Anterior (Brachialis Splitting) Approach to Humerus, Posterior Approach to the Acetabulum (Kocher-Langenbeck), Extensile (extended iliofemoral) Approach to Acetabulum, Hip Anterolateral Approach (Watson-Jones), Hip Direct Lateral Approach (Hardinge, Transgluteal), Hip Posterior Approach (Moore or Southern), Anteromedial Approach to Medial Malleolus and Ankle, Posteromedial Approach to Medial Malleolus, Gatellier Posterolateral Approach to Ankle, Tarsus and Ankle Kocher (Lateral) Approach, Ollier's Lateral Approach to the Hindfoot, Medial approach to MTP joint of great toe, Dorsomedial Approach to MTP Joint of Great Toe, Posterior Approach to Thoracolumbar Spine, Retroperitoneal (Anterolateral) Approach to the Lumbar Spine, Not frequently used due to the development of arthroscopy, Provides exposure to the coracoacromial ligament and supraspinatus tendon. Are you sure you want to trigger topic in your Anconeus AI algorithm? Introduction Surgical approach may be dictated by surgeon preference prior incisions obesity risk for dislocation implant selection degree of deformity Standard approaches direct anterior anterolateral direct lateral posterolateral Extensile approaches trochanteric osteotomy "Minimally invasive" approaches Direct Anterior Approach Overview ORTHOBULLETS; Events. Are you sure you want to trigger topic in your Anconeus AI algorithm? Hip Anterolateral Approach (Watson-Jones) Hip Medial Approach Hip Direct Lateral Approach (Hardinge, Transgluteal) . The Orthobullets Podcast In this episode, we review the high-yield topic of Hip Anterolateral Approach (Watson-Jones) from the Approaches section. The superficial fascia is encountered and incised, Superficial vessels are numerous; attention must be paid to these to facilitate visualization, The deltoid is then sharply released from the acromion or clavicle, depending on area of surgical need, This should be limited, as deltoid repair is often difficult, The acromial branch of the thoracoacromial artery must be ligated when encountered deep to the deltoid, near the acromioclavicular joint, Acromial branch of the thoracoacromial artery, Shoulder Anterior (Deltopectoral) Approach, Shoulder Lateral (Deltoid Splitting) Approach, Shoulder Arthroscopy: Indications & Approach, Anterior (Brachialis Splitting) Approach to Humerus, Posterior Approach to the Acetabulum (Kocher-Langenbeck), Extensile (extended iliofemoral) Approach to Acetabulum, Hip Anterolateral Approach (Watson-Jones), Hip Direct Lateral Approach (Hardinge, Transgluteal), Hip Posterior Approach (Moore or Southern), Anteromedial Approach to Medial Malleolus and Ankle, Posteromedial Approach to Medial Malleolus, Gatellier Posterolateral Approach to Ankle, Tarsus and Ankle Kocher (Lateral) Approach, Ollier's Lateral Approach to the Hindfoot, Medial approach to MTP joint of great toe, Dorsomedial Approach to MTP Joint of Great Toe, Posterior Approach to Thoracolumbar Spine, Retroperitoneal (Anterolateral) Approach to the Lumbar Spine, Not frequently used due to the development of arthroscopy, Provides exposure to the coracoacromial ligament and supraspinatus tendon. more extensile exposure used for complicated acetabular work; same interval as posterior approach to hip; incision slightly more anterior over greater trochanter Elbow Anterolateral Approach. 2023 Lineage Medical, Inc. All rights reserved, Approaches | Shoulder Anterolateral Approach, (deltoid split proximally to the axillary nerve). An incision is made along the anterolateral edge of the shoulder, generally starting at the coracoid. 0. This approach is adequate for fracture fixation and application of a plate onto the lateral aspect of the femur. ral deformities, severe developmen-tal dysplasia, or abductor musclelaxity resulting in global instability.In revision procedures, trochantericosteotomy can facilitate hip disloca-tion, femoral component extraction,acetabular exposure, and access tothe proximal femur. hip hemiarthroplasty; removal of loose bodies; dependant drainage of septic hip; pedicle bone grafting; Associated approaches. Hip Approaches Hip Anterior Approach (Smith-Petersen) Hip Anterolateral Approach (Watson-Jones) Hip Medial Approach Hip Direct Lateral Approach (Hardinge, Transgluteal) Hip Posterior Approach (Moore or Southern) . The deltoid is difficult to repair back to the acromion; limited detachment is recommended. The anterolateral approach to the proximal femur, through the interval between the gluteus medius and minimus muscles and tensor fascia lata, provides access to the hip joint and the lateral proximal femur. Events . Derek W. Moore MD. The femoral attachment of the short external rotators and the hip capsule should be repaired if possible, to reduce the risk of postoperative dislocation. 2. Shoulder Anterolateral Approach Shoulder Lateral (Deltoid Splitting) Approach Posterior to Shoulder Judet Approach to Scapula Shoulder Arthroscopy: Indications & Approach Humerus Approaches Elbow Approaches Forearm & Wrist Approaches Hand Approaches Pelvis Approaches Acetabulum Approaches Hip Approaches LE Approaches Femur Approaches The acromial branch of the thoracoacromial artery must be ligated when encountered deep to the deltoid, near the acromioclavicular joint. 100 % 0 % Evidence. 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