anterolateral
Shoulder
Approaches
Anterior
Anterolateral
Posterior
Anterior Approach / Deltopectoral
Indications
- shoulder stabilization
- arthroplasty
- fracture fixation
Approach
Position
- beach chair
- upper body elevated 30- 40o / reduces venous pressure and bleeding
Hip
Approaches
Anterior
Anterolateral
Lateral
Posterior
Medial
Anterior Approach / Smith Peterson
Indications
- neonatal hip sepsis
- open reduction hip DDH
Techique
Position
- supine
- sandbag under buttock
- free drape leg
Landmarks
Foot and Ankle
Approaches
Ankle
- anterior
- anterolateral
- posterolateral
Hindfoot
- lateral
- Ollier's
Anterior approach to Ankle
Concept
Between EHL and EDL
Indications
- drainage of ankle joint
- ankle arthrodesis
- ORIF tibial plafond
- removal of loose bodies
Approach
Position
Arthroscopy
Portals
1. Anterolateral
Viewing portal
- 1cm lateral to patella tendon
- 1cm above joint line
- 1 cm below inferior pole patella
Problems
- too medial, in fat pad
- too high, limitation by patella, difficult to see posterior horns
- too low, damage anterior horn meniscus
Limitations
- PCL
- anterior horn LM