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Subscapular and Pectoralis Major Sparing Deltopectoral Approach for Reverse Total Shoulder Arthroplasty
Clin Should Elbow 2019;22:110-112
Published online June 1, 2019;  https://doi.org/10.5397/cise.2019.22.2.110
© 2019 Korean Shoulder and Elbow Society.

Young-Woo Chung, Jae-Woong Seo, Ki-Yong An

Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea
Correspondence to: Ki-Yong An
Department of Orthopedic Surgery, Gwangju Veterans Hospital, 99 Cheomdanwolbong-ro, Gwansan-gu, Gwangju 62284, Korea
Tel: +82-62-602-6162, Fax: +82-62-602-6164, E-mail: mdaky@hanmail.net, ORCID: https://orcid.org/0000-0003-3583-6425
IRB approval (exemption granted): Gwangju Veterans Hospital (No. 2019-11-1).
Received September 9, 2018; Revised January 14, 2019; Accepted January 21, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
In reverse ball shoulder replacement, surgery is usually performed using a deltopectoral approach or an anterosuperior transdeltoid approach. The deltopectoral approach is to incise the pectoralis major to upper 1/3 to 1/2, and subscapularis tendon should be removed at the lesser tuberosity of the humerus. This approach has the problem of breaking the shoulder deltoid instead of incising the rotator cuff. Therefore, we report a detailed procedure of reverse ball shoulder replacement using approach without incision of the pectoralis major muscle and subscapularis muscle.
Keywords : Reverse ball shoulder replacement; Deltopectoral approach; Anterosuperior transdeltoid approach