scapula

Region specific approaches

Theory

- want to traverse one muscle / one compartment

- keep away from NV bundle

- as a rule perform open biopsy through compartment the tumour is in

- this is the compartment that will require surgical removal in wide excision

- direct approach without going through muscle if possible i.e. tibia, distal ulna

Lower Limb

Thigh

Glenoid Fractures

Indications for Surgery

ORIF

- > 5mm step

- > 1/4 glenoid rim and displaced

Ideberg Classification Intra Articular Fracture

Type I

Fractures of the Glenoid rim

I A anterior 

I B posterior

Differentiate from small bony Bankart

Classification

Primary

Due to scapulothoracic articulation disorder

1.  Neurological Origin

A.  Spinal Accessory Nerve / Trapezius palsy

B.  Long Thoracic Nerve /  Serratus Anterior palsy

C.  Dorsal Scapular Nerve / Rhomboids palsy (rare)

2.  Osseous Origin