Infraspinatus Tenotomy Improves Glenoid Visualization With the Modified Judet Approach.
Journal
Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
pubmed:
15
11
2019
medline:
22
6
2021
entrez:
15
11
2019
Statut:
ppublish
Résumé
To determine if the addition of an infraspinatus tenotomy to the modified Judet approach (MJA) improves glenoid visualization. We performed an MJA on 14 human cadaveric shoulders. After exposing the glenoid, the boundary of the visualized glenoid surface was marked with a 1.8- and 2.0-mm drill bit before and after performing an infraspinatus tenotomy, respectively. The humerus was disarticulated, and the pre- and post-tenotomy drill marks were verified. The area of the entire glenoid, and each of the 4 quadrants [anterior-superior (AS), anterior-inferior (AI), posterior-superior (PS), and posterior-inferior (PI)] were analyzed using a custom image-processing program. The amount of glenoid exposure and percentage of area visualized before and after the tenotomy were compared. Adding an infraspinatus tenotomy to the MJA significantly increased total glenoid area (cm) exposure by 33%, P < 0.0001. Three of 4 glenoid quadrants (PS, AS, and AI) had a significant increase in glenoid visualization, with the AS quadrant having the most substantial improvement after the tenotomy (+67%), P < 0.0001. The results provide the percentage of glenoid fossa that can be seen using an MJA and demonstrate that visualization significantly improves after adding an infraspinatus tenotomy.
Identifiants
pubmed: 31725084
doi: 10.1097/BOT.0000000000001659
pii: 00005131-202003000-00008
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
158-162Références
Anavian J, Gauger EM, Schroder LK, et al. Surgical and functional outcomes after operative management of complex and displaced intra-articular glenoid fractures. J Bone Joint Surg Ser A. 2012;94:645–653.
Lapner PC, Uhthoff HK, Papp S. Scapula fractures. Orthop Clin North Am. 2008;39:459–474.
Zlowodzki M, Bhandari M, Zelle BA, et al. Treatment of scapula fractures: systematic review of 520 fractures in 22 case series. J Orthop Trauma. 2006;20:230–233.
Ideberg R, Grevsten S, Larsson S. Epidemiology of scapular fractures incidence and classification of 338 fractures. Acta Orthop. 1995;66:395–397.
Lantry JM, Roberts CS, Giannoudis PV. Operative treatment of scapular fractures: a systematic review. Injury. 2008;39:271–283.
Kavanagh B, Bradway J, Cofield R. Open reduction and internal fixation of displaced intra-articular fractures of the glenoid fossa. J Bone Joint Surg Am. 1993;75-A:479–484.
Lewis S, Argintar E, Jahn R, et al. Intra-articular scapular fractures: outcomes after internal fixation. J Orthop. 2013;10:188–192.
Hardegger FH, Simpson LA, Weber BG. The operative treatment of scapular fractures. J Bone Joint Surg Br. 1984;66:725–731.
Jones CB, Cornelius JP, Sietsema DL, et al. Modified Judet approach and minifragment fixation of scapular body and glenoid neck fractures. J Orthop Trauma. 2009;23:558–564.
Manohara R, Kumar VP. A Reverse Judet approach to the scapula. Arch Orthop Trauma Surg.2018;138:669–673.
Nork SE, Barei DP, Gardner MJ, et al. Surgical exposure and fixation of displaced type IV, V, and VI glenoid fractures. J Orthop Trauma. 2008;22:487–493.
Obremskey WT, Lyman JR. A modified Judet approach to the scapula. J Orthop Trauma. 2004;18:696–699.
Goss TP, Joint JB, Am S. Fractures of the glenoid cavity current fractures concepts review cavity of the glenoid. J Bone Joint Surg Am. 2007;74:299–305.
Cole PA, Jacobson AR. Shoulder girdle injuries. In: Surgical Treatment of Orthopaedic Trauma. Cham, Switzerland: Springer International Publishing; 2015:285–331.
Cole PA, Dubin JR, Freeman G. Operative techniques in the management of scapular fractures. Orthop Clin North Am. 2013;44:331–343.
Harmer LS, Phelps KD, Crickard CV, et al. A comparison of exposure between the classic and modified Judet approaches to the scapula. J Orthop Trauma. 2016;30:235–239.
Cole PA, Schroder LK, Jacobson AR. Scapula Fractures. In: Browner BD, Jupiter JB, Krettek C, et al, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. Vol. 2. 6th ed. Amsterdam, Netherlands: Elsevier; 2020:1672–1675.
Salassa TE, Hill BW, Cole PA. Quantitative comparison of exposure for the posterior Judet approach to the scapula with and without deltoid takedown. J Shoulder Elb Surg. 2014;23:1747–1752.