Obremskey and Lyman describe a modification of the classic Judet posterior approach to the scapula that uses the original Judet skin incision but substitutes atraumatic intermuscular dissection for infraspinatus detachment, aiming to expose all fixable bony elements while reducing rotator cuff morbidity.
When you need posterior exposure for a displaced scapula body, neck, or spine fracture, this modified Judet approach gives you the full extensile exposure of the classic technique without detaching the infraspinatus — release only the posterior deltoid from the spine, develop the teres minor–infraspinatus interval, and ligate the ascending circumflex scapular artery (a predictable bleeder at the inferior glenoid neck fracture edge) before it becomes a problem.
Obremskey and Lyman describe a modification of the classic Judet posterior approach to the scapula that uses the original Judet skin incision but substitutes atraumatic intermuscular dissection for infraspinatus detachment, aiming to expose all fixable bony elements while reducing rotator cuff morbidity.
When you need posterior exposure for a displaced scapula body, neck, or spine fracture, this modified Judet approach gives you the full extensile exposure of the classic technique without detaching the infraspinatus — release only the posterior deltoid from the spine, develop the teres minor–infraspinatus interval, and ligate the ascending circumflex scapular artery (a predictable bleeder at the inferior glenoid neck fracture edge) before it becomes a problem.