title: Transsupraspinatus arthrotomy through an enlarged transacromial approach for total shoulder replacement.
abstract: The authors describe a step-by-step technique for anatomic total shoulder arthroplasty using transsupraspinatus arthrotomy via the enlarged transacromial approach. This technique seems ideal to ensure adequate postoperative tensional balance of the infraspinatus and the subscapularis, which is critical for the rotator cuffs to function properly and to achieve optimal arthroplasty stability. Reviewing these different steps helps understanding each rotator cuff individual component's contribution to achieve optimal arthroplasty stability.
authors.affiliation: Department of Orthopaedics and Traumatology, Créteil Faculty of Medicine, Paris XII, Henri Mondor Hospital, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France. daniel.goutallier@hmn.ap-hop-paris.fr
authors.forename: D
authors.initials: D
authors.lastname: Goutallier
authors.forename: S
authors.initials: S
authors.lastname: van Driessche
authors.forename: S
authors.initials: S
authors.lastname: Le Mouël
authors.forename: P
authors.initials: P
authors.lastname: Puzzo
authors.forename: S
authors.initials: S
authors.lastname: Zilber
mesh_terms: D000173:Acromioclavicular Joint / Q000601:surgery; D019643:Arthroplasty, Replacement / Q000379:methods* / Q000534:rehabilitation; D003131:Combined Modality Therapy; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control*; D007595:Joint Prosthesis; D011182:Postoperative Care / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D017006:Rotator Cuff / Q000601:surgery*; D012680:Sensitivity and Specificity; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome