Conjoint Tendon Tenotomy for Glenoid Exposure in the Setting of Previous Coracoid Transfer.

Altintas, Burak; Martetschläger, Frank; Fritz, Erik M; Warth, Ryan J; Greenspoon, Joshua A; Burns, Travis C; Anderson, Nicole L; Millett, Peter J · Arthrosc Tech · 2019

case_report · Level V

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Abstract

Surgical exposure of the glenoid after previous coracoid process transfer is technically challenging as a result of distorted anatomy, obliterated soft-tissue planes, and adhesive scar tissue, which poses additional risk to adjacent neurovascular structures. The purpose of this article is to present a technique for glenoid exposure following coracoid transfer that involves tenotomy of the conjoint tendon to minimize the risk for neurovascular injury while leaving the well-healed coracoid bone graft in place.