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The bra strap incision in the open Latarjet procedure


Vlajkovic, Alexandra; Meyer, Dominik C; Von Knoch, Marius; Schmid, Samuel L; Götschi, Tobias; Grubhofer, Florian (2018). The bra strap incision in the open Latarjet procedure. Journal of Orthopaedic Surgery and Research, 13(1):304.

Abstract

BACKGROUND

The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. The intention of this study was (1) to elaborate if the bra strap incision is considered beneficial by female patients, (2) to find reproducible landmarks to indicate how the bra strap incision has to be oriented, and (3) to evaluate preliminary clinical results of patients in whom the bra strap incision was used.

METHODS

In 18 patients with a mean follow-up of 21 (range, 12-31) months treated with an open Latarjet procedure through the bra strap incision, the clinical results (scar satisfaction, Constant and Murley score [CMS], and subjective shoulder value [SSV]) were retrospectively analyzed. To assess the typical course of the bra strap, anatomical landmarks were assessed in 100 consecutive female patients as the distance from the bra strap center to (1) the tip of the coracoid process, (2) the superior end of the anterior axillary fold, and (3) the acromioclavicular joint.

RESULTS

All (18 of 18) patients stated that they would prefer the bra strap incision if the same procedure had to be performed on the opposite shoulder; 16 women were satisfied with the scar. The mean CMS was 83 (range 64-96) points and the mean SSV was 85 (range, 60-100) %. The mean distances from the bra strap center to the acromioclavicular joint, coracoid tip, and axillary fold were 28 (range, 5-60) mm, 15 (range, 2-17) mm, and 30 (range, 2-55) mm. No combination of distance measures and demographic variable revealed a linear relationship.

CONCLUSION

This analysis shows that the bra strap incision appears to be highly welcomed by female patients and does not compromise the clinical outcome, when compared to previously published data. However, even though the typical location of the bra strap can be determined, the large variations in the distances make it more preferable to preoperatively mark the incision for optimal placement.

TRIAL REGISTRATION

The study is approved by the Ethical Committee Zurich. (Cantonal Ethical Committee number: ZH-Nr.2017-00891 ).

Abstract

BACKGROUND

The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. The intention of this study was (1) to elaborate if the bra strap incision is considered beneficial by female patients, (2) to find reproducible landmarks to indicate how the bra strap incision has to be oriented, and (3) to evaluate preliminary clinical results of patients in whom the bra strap incision was used.

METHODS

In 18 patients with a mean follow-up of 21 (range, 12-31) months treated with an open Latarjet procedure through the bra strap incision, the clinical results (scar satisfaction, Constant and Murley score [CMS], and subjective shoulder value [SSV]) were retrospectively analyzed. To assess the typical course of the bra strap, anatomical landmarks were assessed in 100 consecutive female patients as the distance from the bra strap center to (1) the tip of the coracoid process, (2) the superior end of the anterior axillary fold, and (3) the acromioclavicular joint.

RESULTS

All (18 of 18) patients stated that they would prefer the bra strap incision if the same procedure had to be performed on the opposite shoulder; 16 women were satisfied with the scar. The mean CMS was 83 (range 64-96) points and the mean SSV was 85 (range, 60-100) %. The mean distances from the bra strap center to the acromioclavicular joint, coracoid tip, and axillary fold were 28 (range, 5-60) mm, 15 (range, 2-17) mm, and 30 (range, 2-55) mm. No combination of distance measures and demographic variable revealed a linear relationship.

CONCLUSION

This analysis shows that the bra strap incision appears to be highly welcomed by female patients and does not compromise the clinical outcome, when compared to previously published data. However, even though the typical location of the bra strap can be determined, the large variations in the distances make it more preferable to preoperatively mark the incision for optimal placement.

TRIAL REGISTRATION

The study is approved by the Ethical Committee Zurich. (Cantonal Ethical Committee number: ZH-Nr.2017-00891 ).

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:29 November 2018
Deposited On:13 Dec 2018 13:25
Last Modified:24 Sep 2019 23:57
Publisher:BioMed Central
ISSN:1749-799X
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1186/s13018-018-1006-8
PubMed ID:30486841

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