Shoulder cap

Wholeness of the rotators' cap is an important element to consider. It is suitable to mend all muscles of the rotators' cap. Exploration and then mending is an essential step in shoulder arthroplasty.

Delto pectoral access passage must be followed by resection of the coraco acromial ligament.

Process of mending is not particular. According to the importance of substance discharge, it is possible to excise in sound area and then immediately stitch up.

In case of disintegration of spinous process, a reintegration through bone is recommended.

Cares for wide discharge of substances are more difficult to deal with. According to surgeon's skill and lesions spreading and positioning, it will be necessary to choose either between muscles transposition or construction of a flap in anterior deltoid.

Post-operative care

At the end of operation, the shoulder is secured and kept slightly elevated in a limp securing device such as MAYO-CLINIC or a strip such as DUJARRIER.

Securing must remain brief. It is useful to insist on the importance of re-educating as early as possible.

But dates and procedures for re-educating are depending upon surgeon's advice, as he is the one who knows about the exact state of soft parts and steadiness of the humeral tuberosities' mending.