Top 5 rules to avoid neurovascular injury during total shoulder arthroplasty

Abstract Prevention of neurovascular injuries during approaches for shoulder Arthroplasty involves general knowledge of the anatomical course of adjacent neurovascular structures and their proximity to various landmarks. This allows the surgeon to navigate about the shoulder while protecting or circumventing structures known to be at risk during a particular surgical approach. Adjunctive devices and monitoring methods can be helpful in difficult and even routine cases to minimize the incidence of nerve injuries. Most importantly is a thorough initial physical exam with documentation of neurovascular status, review of prior operative notes, and pursuing additional studies as deemed necessary.