However, as with the superolateral approach, the anterior part of the middle deltoid has to be detached before an acromioplasty can be performed. |
Figure 7: Suture of a rotator cuff tear by the superolateral approach. |
The superolateral extension of the transverse fissure is the choroidal fissure. |
We use the superolateral approach routinely in all cases of rotator cuff tears other than full-thickness tears of the subscapularis. |
Retraction of the subscapularis is a limitation to the use of the superolateral approach. |
The superolateral approach has been found to be particularly useful in epiphyseal fractures of the proximal end of the humerus. |