Top five rules to avoid neurovascular injury during total shoulder arthroplasty

Evan Flatow, Victor Olujimi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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 important is a thorough initial physical examination with documentation of neurovascular status, review of prior operative notes, and pursuing additional studies as deemed necessary.

Original languageEnglish
Pages (from-to)2-4
Number of pages3
JournalSeminars in Arthroplasty
Issue number1
StatePublished - 1 Mar 2017


  • Arthroplasty
  • Axillary nerve
  • Brachial plexus
  • Shoulder arthroplasty
  • Tug test


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