open tendonectomy

Open tendon opening for the treatment of shoulder contracture. Most of the shoulder joint contractures are adduction and internal rotation, which have a great influence on normal activities. In addition to fractures, tuberculosis and other factors, there are two major categories of traumatic degeneration and paralysis, and the treatment methods are different. Treatment of diseases: inflammation around the shoulder joint Indication Tendon open cutting is suitable for: Due to injury, biceps tendonitis or inflammation around the shoulder joint, the internal rotation of the shoulder joint, the contracture of the contracture contracture is heavier, and it is not effective after non-surgical treatment. Surgical procedure 1. Incision Anterior medial incision of the shoulder joint. Starting from the tip of the condyle, it was cut longitudinally along the deltoid muscle, the intermuscular groove of the pectoralis major, or 1 cm outside, and was about 12 cm long. 2, revealing the subscapularis muscle 1cm away from the intermuscular groove of the deltoid pectoralis, the fascia was cut in the direction of the deltoid muscle fibers, the deltoid muscle was separated, and the deltoid muscle of the cephalic vein and the thoracic and thoracic peak artery in the interstitial space was protected by a narrow deltoid muscle inside. The abductor outer shoulder joint can be seen on the deep side of the biceps brachial muscle and the diaphragm. The short head of the biceps muscle is dissociated and pulled to the medial side, showing a deep subscapularis tendon. Protect the bundle of blood vessels at the distal edge. 3, remove the subscapularis tendon, cut off the pectoralis major tendon From the medial front side of the gingival margin to the subscapularis tendon, the entire section of the humerus is removed. However, the anterior joint capsule of the shoulder joint was not cut, and the pectoralis major tendon was cut along the humerus with scissors. 4, close the incision Thoroughly stop bleeding, flush the incision with isotonic saline, and suture the incision in layers.