TechniquesPrimary Total Shoulder Arthroplasty Performed Through the Rotator Interval A Novel TechniqueLafosse, Laurent MD*; Schnaser, Erik MD†; Haag, Manuel MD*; Gobezie, Reuben MD†Author Information *Alps Surgery Institute, Clinique General, France; and †University Hospitals, Case Medical Center, Cleveland, OH Reprints: Reuben Gobezie, MD, The Case Shoulder and Elbow Service, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, 11100 Euclid Avenue, HH5043, Cleveland, OH 44106 (e-mail: [email protected]). None of the authors have any conflict of interest, financial or otherwise, with the material contained in this manuscript. Techniques in Shoulder and Elbow Surgery: September 2009 - Volume 10 - Issue 3 - p 99-104 doi: 10.1097/BTE.0b013e3181b170ed Buy Metrics Abstract Total shoulder arthroplasty is an effective treatment for glenohumoral arthritis. The conventional deltopectoral approach to the shoulder in the setting of a total shoulder arthroplasty involves violating the integrity of the supscapularis complex. We present a novel approach through the rotator interval to access the glenohumoral joint during a total shoulder arthroplasty. This approach does not sacrifice the integrity of subscapularis and patients are immediately started on an aggressive rehabilitation protocol. © 2009 Lippincott Williams & Wilkins, Inc.