**Replacement**

**References**

60 Advances in Shoulder Surgery

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**Chapter 4**

**Provisional chapter**

**Surgical Approaches in Shoulder Arthroplasty**

**Surgical Approaches in Shoulder Arthroplasty**

DOI: 10.5772/intechopen.70363

Shoulder arthroplasty is a complex procedure that is becoming increasingly more utilized throughout the world. Due to the numerous static and dynamic stabilizers of the glenohumeral joint, along with the relative proximity to vital neurovascular structures, great care must be taken to access the joint in a safe and effective manner. To date, there are two well-described approaches utilized in shoulder arthroplasty: the deltopectoral approach and the anterosuperior approach. Both of these approaches are effective in accessing the glenohumeral joint; however, due to their anatomic location, they both have distinct advantages and disadvantages. The aim of this book chapter is to describe the methodology for approaching the glenohumeral joint through each of these approaches, as well as to discuss the advantages and disadvantages of utilizing each. In addition, we aim to discuss the various methodologies for closing these wounds and, briefly, to discuss the

> © 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

and reproduction in any medium, provided the original work is properly cited.

Shoulder arthroplasty is becoming an increasingly popular procedure performed for a variety of problems. It has been utilized with great success for advanced degenerative and traumatic conditions of the shoulder [1–5]. Because the shoulder joint is surrounded by vital structures including muscles, nerves, and blood vessels, great care must be taken to ensure safe but adequate exposure to the glenohumeral joint when performing shoulder arthroplasty. To date, the deltopectoral approach [6] and the anterosuperior lateral approach [7] are the two main approaches that have been well described in the literature for access to the glenohumeral joint for shoulder arthroplasty. Each approach offers distinct advantages and disadvantages with

Brian W. Sager and Michael Khazzam

Brian W. Sager and Michael Khazzam

http://dx.doi.org/10.5772/intechopen.70363

**Abstract**

**1. Introduction**

Additional information is available at the end of the chapter

other approaches described in the orthopedic literature.

**Keywords:** shoulder, arthroplasty, approaches, deltopectoral, anterosuperior

Additional information is available at the end of the chapter

**Provisional chapter**
