Surgical Approaches
Region | Approach | Eponym | Muscular (Nerve) | Muscular(Nerve) | Structures at Risk |
---|---|---|---|---|---|
Shoulder | Anterior | Henry | Deltoid (Axilary) | Pectoralis major (medial / Iareral pectoral) | Musculocutaneous n. Cephalic v. |
Lateral | Deltoid (splitting) (axillary) | Deltoid (splitting) (axillary) | Axillary n | ||
Posterior | Infraspinatus (suprascapular) | Teres minor (axillary) | Axillary n. Posterior circumflex humeral a. | ||
Proximal Humerus | Anterolateral | Deltoid (axillary) | Pectoralis major (medial / lateral pectoral) | Axillary n. Anterior circumflex humeral a. | |
Distal humerus | Anterolateral | Triceps (radial) Brachialis (musculocutaneous) | Brachioradialis (radial) | Radial n. | |
Lateral | Triceps (radial) | Brachioradialis (radial) | Radial n. | ||
Posterior | Triceps (radial) | Radial n. | |||
Elbow | Anterolateral | Henry | Brachialis (musculocutaneous) Pronator teres (median) | Brachioradialis (radial) | Lateral Antebrachial Cutaneous n. Radial n. |
Posterolateral | Kocher | Anconeus (radial) | ECU (PIN) | PIN | |
Medial | Brachialis (musculocutaneous) | Triceps (radial) Pronator teres (median n.) | Ulnar n. | ||
Forearm | Anterior | Henry | Brachioradialis (radial) | Pronator Teres / FCR (median) | PIN |
Dorsal | Thompson | ECRB (radial) | ED/EPL (PIN) | PIN | |
Ulnar | ECU (PIN) | FCU (ulnar) | Ulnar n. and a. | ||
Wrist | Dorsal | Third compartment (PIN) | Fourth compartment (PIN) | ||
Scaphoid | Volar | Russe | FCR or through sheath (median) | Radial a. | |
Dorsolateral | Matti | 1st compartment (PIN) | 3rd compartment (PIN) | Superior radial n. Radial a. |