Arthroscopic Preparation of the Posterior and Posteroinferior Glenoid Labrum

Provencher, Matthew T.; Romeo, Anthony A.; Solomon, Daniel J.; Bach, Bernard R.; Cole, Brian J.

doi:10.3928/01477447-20071101-03

Cited by 6 publications

(2 citation statements)

References 15 publications

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“… 5 In this position, excellent visualization of the posterior and posteroinferior aspects of the joint are allowed, often obviating the need to create portals that disrupt the rotator cuff. 7 Setup uses the application of lateral and axial traction to the operative arm, thereby widening the joint space and allowing for easier use of instrumentation and suture passage. 2 …”

Section: Discussionmentioning

confidence: 99%

Shoulder Arthroscopy in the Lateral Decubitus Position

Hamamoto

Frank

Higgins

et al. 2017

Arthroscopy Techniques

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Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions. The lateral decubitus position allows for excellent exposure to all aspects of the glenohumeral joint and is therefore frequently employed in procedures such as stabilization, in which extensive visualization of the inferior and posterior aspects of the joint is required. Improved visualization is imparted due to applied lateral and axial traction on the operative arm, which increases the glenohumeral joint space. To perform arthroscopy surgery in the lateral decubitus position successfully, meticulous care during patient positioning and setup must be taken. In this Technical Note, we describe the steps required to safely, efficiently, and reproducibly perform arthroscopic shoulder surgery in the lateral decubitus position.

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Section: Discussionmentioning

confidence: 99%

Shoulder Arthroscopy in the Lateral Decubitus Position

Hamamoto

Frank

Higgins

et al. 2017

Arthroscopy Techniques

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“… Avoiding the use of excessive traction. No more than 15 to 20 pounds of traction should be applied in order to minimize strain on the brachial plexus [7]. Klein et al concluded that combination of shoulder positions either 45 0 of forward fl exion with 90 0 of abduction or 45 0 of forward fl exion with 0 0 of abduction helped to maximize visibility and minimize strain placed on the brachial plexus [8].…”

Section: Tips To Avoid Complicationsmentioning

confidence: 99%

Positioning in Shoulder Arthroscopy

Dosari¹,

Hameed²,

Fuad³

et al. 2021

Int J Sports Sci Med

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Arthroscopy of the shoulder has become a routine surgical procedure for the diagnosis and treatment of diff erent shoulder disorders. Intraoperative patient positioning is a major determinant in the successful outcome of shoulder arthroscopy procedures. Two positioning methods are commonly described, the lateral decubitus and the beach chair position. Each has its advantages and disadvantages. There is no consensus on the best position. The optimal position should improve visualization, enhance accessibility and minimize complications. In this review we aim to describe the advantages and disadvantages of each position and provide tips to avoid them.

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