The patient is placed in a semilateral position so that the posterior aspect of the affected shoulder, scapula, and axilla and the entire upper limb can be prepared and draped in a sterile fashion.

A, The skin incision begins at the coracoid process and extends distally in the deltopectoral groove to the insertion of the deltoid muscle; it then continues proximally along the posterior border of the deltoid muscle to terminate at the posterior axillary fold. A second incision in the axilla connects the anterior and posterior borders of the first incision.

B,

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