Arthroskopie des schultergelenks

Abstract

Diagnostic and operative arthroscopy of the shoulder joint has gained considerable importance in traumatology and orthopedic surgery over the last years. Injuries of the limbus glenoidalis, in particular traumatic shoulder luxation, injuries of the rotator cuff, infection of the glenohumeral joint and unclear posttraumatic pain are indications for diagnostic and operative arthroscopy. Arthroscopy of the shoulder is a procedure, which offers exact diagnosis and the possibility of immediate surgery at the same time. The technique of the shoulder joint arthroscopy has to be carried out carefully and according to a standard protocol. The complication rate of around 5% of shoulder arthroscopy has not to be neglected.

Does desflurane need more irrigating-pump pressure for the visibility in arthroscopic shoulder surgery than sevoflurane?

“…In shoulder surgery, arthroscopic procedures are popular and widely used because they enable a smaller incision, less tissue injury, a wider surgical field, less postoperative pain and potentially faster recovery [ 1 , 2 ]. To achieve successful surgery with an arthroscope, a mechanical fluid-irrigation system (irrigation pump, as below) is used to produce adequate joints distension and wash out blood and cell debris from the joint space [ 3 ].…”