The skin incision runs from the lateral end of the anterior margin of the acromion to the lateral aspect of the coracoid process. In the presence of a pure subacromial impingement syndrome, the skin incision may be 4-5 cm in length. Alternatively, a saber-cut incision can be carried ouf. The deltoid can sectioned transversely at a distance of 5 mm from the anterior border of the acromion or, preferal detached with a needle-tip electrocautery from the bone. We section the coraco-acromial ligament remove its lateral portion, attached to the acromion, while performing the acromioplasty. The latter is can out with an osteotome directed obliquely downwards and backwards to remove the antero-inferior portion the acromion for approximately one-third of its sagittal length. The subacromial bursa is removed extensively as possible, particularly when it is thickened. Areas of erosion of the bursal side of the cuff excised and the resulting defect is then closed. Full-thickness cuff tears, when present, are repaired. Great is taken to suture the edges of the deltoid, or to reattach the muscle to the acromial border with transosseus sutures.
Open anterior acromioplasty / Postacchini, Franco; Gumina, Stefano. - STAMPA. - (2003), pp. 1-3.
Open anterior acromioplasty
POSTACCHINI, Franco;GUMINA, STEFANO
2003
Abstract
The skin incision runs from the lateral end of the anterior margin of the acromion to the lateral aspect of the coracoid process. In the presence of a pure subacromial impingement syndrome, the skin incision may be 4-5 cm in length. Alternatively, a saber-cut incision can be carried ouf. The deltoid can sectioned transversely at a distance of 5 mm from the anterior border of the acromion or, preferal detached with a needle-tip electrocautery from the bone. We section the coraco-acromial ligament remove its lateral portion, attached to the acromion, while performing the acromioplasty. The latter is can out with an osteotome directed obliquely downwards and backwards to remove the antero-inferior portion the acromion for approximately one-third of its sagittal length. The subacromial bursa is removed extensively as possible, particularly when it is thickened. Areas of erosion of the bursal side of the cuff excised and the resulting defect is then closed. Full-thickness cuff tears, when present, are repaired. Great is taken to suture the edges of the deltoid, or to reattach the muscle to the acromial border with transosseus sutures.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.