IS ANATOMY CLINICALLY IMPORTANT IN SHOULDER SURGERY?
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 15, Issue 15
Abstract
Introduction Arthroscopy has brought some details, especially with reference to glenohumeral joint structures. Within last few years “out of the box” shoulder arthroscopy became more popular. This requires very good anatomic basics and some spatial orientation. Aim The goal of this study was to present some aspects of open and arthroscopic shoulder anatomy and their correlation with the clinical practice. Material and methods This study was based on the information found on anatomical studies published in 2000–2015 in PubMed database. Addition- ally 21 fresh cadavers were dissected in Forensic Medicine Department at Warsaw Medical University. This step-by-step dissec- tion allowed to visualize all structures from “out of box” to the glenohumeral joint itself. Results Three anatomic areas were presented with special attention to their clinical influence: coracoid process, coracohumeral ligament and glenohumeral joint capsule. Conclusions Results of this study confirmed several important anatomic factors, which should be taken under consideration in clinical practice. It is crucial to know all anatomic relations of the coracoid process. Coracohumeral ligament is one of these structures, spanning into the capsular wall. Subsequently the capsular tissue reinforced with the ligaments stay very tightly related to the rotator cuff tendons. These facts are very important when open or arthroscopic surgery is applied.
Authors and Affiliations
Bartłomiej Kordasiewicz
Keywords
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- EP ID EP197421
- DOI 10.19271/IRONS-00010-2016-15
- Views 71
- Downloads 0
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