Norwood L A, Matiko J A, Terry G C
Clin Orthop Relat Res. 1985 Dec(201):167-72.
A posterior shoulder surgical approach combines the subperiosteal detachment of the deltoid from the scapular spine, described by McWhorter, with a lateral extension to include the lateral deltoid splitting of Codman. The glenohumeral joint is superiorly approached between the supraspinatus and infraspinatus tendons, or inferiorly between the infraspinatus and teres minor tendons. This approach was used in 42 shoulders with rotator cuff tears or posterior instability without complications of infection, failure of deltoid healing, or compromise of suprascapular or axillary nerves. This combined surgical approach provides excellent exposure of the superior and posterior shoulder, which is difficult to obtain by anterior or superior approaches. This approach may be used for repair of rotator cuff tears, posterior instability, and displaced posterior glenoid fractures.
一种后入路肩关节手术方法将麦克沃特所描述的三角肌从肩胛冈的骨膜下剥离与外侧延伸相结合，后者包括科德曼的三角肌外侧劈开。在冈上肌和冈下肌肌腱之间或在冈下肌和小圆肌肌腱之间上方入路肩关节。该方法应用于42例患有肩袖撕裂或后向不稳的肩部，未发生感染、三角肌愈合失败或肩胛上神经或腋神经损伤等并发症。这种联合手术入路能很好地显露肩关节的上方和后方，而这是前入路或上入路难以做到的。该入路可用于修复肩袖撕裂、后向不稳以及移位的后方肩胛盂骨折。
