Posterior approach to the shoulder

The purpose of this study was to describe a modified posterior approach to the shoulder and to present their clinical application in 12 cadaver specimens and a prospective series of 11 patients with glenoid fractures from 1994 to 2003. In the proposed approach Deltoid is reflected superiorly without detachment, approaching the interval between Infraspinatus and Teres Minor muscles exposing the glenoid. Witch this technique the Axilar bundle was 26,5 mm to the posterior glenoid rim. The patients had low surgical times (54 min), low bleeding (77 cc), and no nerve complications. All had good and excellent results in the UCLA score in the first 30 postoperative days. We consider this approach safe, it allows an excellent exposure of the glenoid fractures, and facilitates the functional recovery to the patients