Abstract
Summary:Posterior approaches provide the mainstay for treatment in most of the scapula body and neck fractures, even those associated with many intraarticular variants. Several posterior approach modifications for minimizing soft-tissue damage and limiting muscular detachment, have previously been described in the literature; however, little or no clinical evidence is available specifically applied to the various approaches.In this study, we describe complete sparing of the deltoid muscle origin during the "modified Judet" approach. The modified approach as previously described detaches the deltoid origin. Deltoid sparing allows for satisfactory visualization and fixation of extra-articular scapula fractures and even some intraarticular variants. The purpose of this article was to describe the deltoid-sparing modified Judet approach and report clinical outcomes for 23 patients after surgical treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E181-E187 |
| Journal | Journal of orthopaedic trauma |
| Volume | 37 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 1 2023 |
Bibliographical note
Funding Information:P. A. Cole is currently receiving institutional grant support from Stryker Inc., DePuy Synthes, KLS Martin, AONA, COTA, OMeGA, Zimmer Biomet, and Acumed; receives personal fees from AO foundation, ExacTech, J&J DePuy Synthes, and KLS Martin; and is a stockowner in BoneFoams, Inc. Funding sources did not play a role in this investigation. The remaining authors report no conflict of interest.
Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
Keywords
- deltoid-sparing
- glenoid
- Judet
- modified Judet
- ORIF
- rotator cuff
- scapula body
- scapula fracture
- scapula neck
- scapular spine
PubMed: MeSH publication types
- Journal Article