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Review Question - QID 783

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QID 783 (Type "783" in App Search)
A patient sustains a displaced scapular neck fracture. What is the internervous plane for a posterior approach to the glenohumeral joint?

Lateral pectoral-axillary

1%

14/1012

Subscapular-musculocutaneous

2%

20/1012

Suprascapular-axillary

85%

864/1012

Long thoracic-spinal accessory

2%

25/1012

Suprascapular-subscapular

6%

62/1012

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Surgical fixation of a scapular neck fracture is performed via the Judet approach, a posterior approach to the scapula/glenoid. The internervous plane is between the infraspinatus (suprascapular nerve) and the teres minor (axillary nerve).

As outlined by Ball et al, the posterior branch of the axillary nerve has intimate association with the inferior aspects of the glenoid and shoulder joint capsule, which may place it at particular risk during a posterior approach to the shoulder.

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