Operative approaches: Shoulder

  • In an appropriately marked and consented, anaesthetised patient. I would complete the WHO checklist. 
  • Patient would be beach chair position.
  • Incision: Deltopectoral groove. Coracoid to deltoid tuberosity
  • Superficial: Skin, subcutaneous, Deltoid laterally, pectoralis major medially
  • NV interval: Axiallry and lateral and medial pectoral nerve
  • Deep: incise deltopectoralis fascia, coracobrachialis + short head of biceps retract medially. 
  • Subscapularis incision (done under external rotation)