Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-07T20:36:03 RDF description of Quantitative comparison of exposure for the posterior Judet approach to the scapula with and without deltoid takedown - http://repository.healthpartners.com/individual/document-rn6991 23 <p>BACKGROUND: The purposes of this study are to quantify the extent of the scapula exposed and to describe the osseous landmarks within the dissection of a posterior Judet approach with and without takedown of the posterior deltoid muscle. METHODS: The posterior Judet approach using the muscular interval between the teres minor and infraspinatus muscle with and without takedown of the deltoid muscle was performed on 10 fresh-frozen cadaveric shoulders. Retractors with 2 kg of force were used at the wound margins for retraction. Upon completion of the exposure, a calibrated digital image was taken from the surgeon's perspective and specific anatomic landmarks were identified. The digital images were then analyzed with a computer software program, ImageJ (National Institutes of Health, Bethesda, MD, USA), to calculate the area (in square centimeters) of bone exposed. RESULTS: The mean area of posterior scapula exposed by the traditional Judet approach with takedown of the deltoid muscle was 30.2 cm(2) (95% confidence interval, 27.7-32.7 cm(2)) compared with 27.3 cm(2) (95% confidence interval, 24.8-29.9 cm(2)) when the deltoid was not detached (P < .0001). In all 10 cadaveric shoulders, the posterior Judet approach without takedown of the deltoid muscle allowed access to the posterior glenoid, lateral scapula border, and spinoglenoid notch. CONCLUSIONS: Although takedown of the deltoid muscle improves exposure, the posterior Judet approach without takedown of the posterior deltoid muscle allows for safe exposure to 91% of the bony scapula obtained by removing the deltoid muscle and access to the critical osseous fixation points of the posterior scapula.<p> 19482 Comparative Studies Orthopedics 11 12451 Quantitative comparison of exposure for the posterior Judet approach to the scapula with and without deltoid takedown public Shoulder 2022-02-21T22:48:57.408-06:00 Journal of Shoulder and Elbow Surgery Surgery 10.1016/j.jse.2014.02.025 document-rn6991