Exposure of the brachial plexus in complex revisions to reverse total shoulder arthroplasty.


Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, 10753 Falls Road, Suite 215, Pavilion II, Lutherville, Baltimore, MD, 21093, USA. [Email]


Excision of extensive scar tissue (EEST) may be required in certain cases of revision reverse total shoulder arthroplasty (RTSA). Neurovascular structures are at a higher risk of iatrogenic direct injury in these cases. We describe a technique to expose and protect the musculocutaneous and axillary nerves in a series of revision RTSA cases that required EEST.


Axillary nerve,Brachial plexus,Neurologic complications,Reverse total shoulder arthroplasty,Revision,Scar tissue,