Arthroscopic anatomy of the subdeltoid space

  • Michael J. Salata Division of Orthopaedic Surgery, University Hospitals Case Medical Center, Cleveland, OH, United States.
  • Shane J. Nho Division of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, United States.
  • Jaskarndip Chahal | jaschahal@outlook.com Department of Surgery, Division of Orthopaedic Surgery, Women’s College Hospital, University of Toronto, ON; Division of Orthopedic Surgery, Toronto Western Hospital, ON, Canada.
  • Geoffrey Van Thiel Division of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, United States.
  • Neil Ghodadra Southern California Orthopedic Institute, Van Nuys, CA, United States.
  • Tim Dwyer Department of Surgery, Division of Orthopaedic Surgery, Women’s College Hospital, University of Toronto, ON; Division of Orthopedic Surgery, Toronto Western Hospital, ON, Canada.
  • Anthony A. Romeo Division of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, United States.

Abstract

From the first shoulder arthroscopy performed on a cadaver in 1931, shoulder arthroscopy has grown tremendously in its ability to diagnose and treat pathologic conditions about the shoulder. Despite improvements in arthroscopic techniques and instrumentation, it is only recently that arthroscopists have begun to explore precise anatomical structures within the subdeltoid space. By way of a thorough bursectomy of the subdeltoid region, meticulous hemostasis, and the reciprocal use of posterior and lateral viewing portals, one can identify a myriad of pertinent ligamentous, musculotendinous, osseous, and neurovascular structures. For the purposes of this review, the subdeltoid space has been compartmentalized into lateral, medial, anterior, and posterior regions. Being able to identify pertinent structures in the subdeltoid space will provide shoulder arthroscopists with the requisite foundation in core anatomy that will be required for challenging procedures such as arthroscopic subscapularis mobilization and repair, biceps tenodesis, subcoracoid decompression, suprascapular nerve decompression, quadrangular space decompression and repair of massive rotator cuff tears.

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Published
2013-09-09
Info
Issue
Section
Reviews
Keywords:
subdeltoid space, arthroscopy, anatomy
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How to Cite
Salata, M. J., Nho, S. J., Chahal, J., Van Thiel, G., Ghodadra, N., Dwyer, T., & Romeo, A. A. (2013). Arthroscopic anatomy of the subdeltoid space. Orthopedic Reviews, 5(3), e25. https://doi.org/10.4081/or.2013.e25