Long craniolateral approach to the equine shoulder

A 20 cm long slightly curved skin incision, starting just cranial to the acromion process of the scapula, is made in distal direction towards the greater tubercle.

The approach to the scapula for application of the human distal femur plate has to be extended caudally along the scapular spine. The supraspinatus muscle has to be retraced in proximal direction from spine.