1. Treating Rotator Cuff Tears Through a Coracoacromial Mini-Open Approach 
Wolfram Thomas, M.D., Ph.D., Tom Sascha Thomas, M.D., Luca Tafuro, M.D., Sebastian Walter, M.D., M.Sc. 
Arthroscopy Techniques 
Volume 5, Issue 5, Pages e1023-e1027 (October 2016)
DOI: /j.eats
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2. Fig 1
Important landmarks are the acromion and coracoid process (Proc)—both are connected by the incision line of the skin (blue) (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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3. Fig 2
The skin is already incised and thus exposes the view onto the fascia of the deltoid muscle (patient in semi-sitting position, right shoulder, view from ventrolateral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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4. Fig 3
The deltoid muscle is split (blue) along its fibers' orientation without detaching it from its footprint (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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5. Fig 4
The coracoacromial ligament (orange) and the subacromial bursa (green) are resected (blue lines) (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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6. Fig 5
The coracoacromial ligament is exposed at its complete length (patient in semi-sitting position, right shoulder, view from ventrolateral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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7. Fig 6
The origin and onset of the supraspinatus and subscapularis muscle are shown (patient in semi-sitting position, right shoulder, view from ventral). The supraspinatus muscle has a lesion and is somewhat retracted.
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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8. Fig 7
The rotator cuff lesion is exposed (patient in semi-sitting position, right shoulder, view from ventrolateral). The torn ends of the supraspinatus muscle are grasped with Kocher clamps.
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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9. Fig 8
An anchor (blue) is placed, and the ends of the torn tendon are sutured together (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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10. Fig 9
The anchor has already been placed, and the tear has been closed (patient in semi-sitting position, right shoulder, view from ventrolateral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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11. Fig 10
The deltoid muscle is self-relapsing when removing the spreader (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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12. Fig 11
The deltoid muscle split is reclosed by single stitches (blue) (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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13. Fig 12
The skin is closed with an intracutaneous suture line (patient in semi-sitting position, right shoulder, view from ventral).
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
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14. Fig 13
Wound on day 10 postoperatively (patient in semi-sitting position, right shoulder, view from lateral). Wound dressing and suture were just removed.
Arthroscopy Techniques 2016 5, e1023-e1027DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions