Basic Shoulder Arthroscopy: Lateral Decubitus Patient Positioning

Jinnah, Alexander H.; Mannava, Sandeep; Plate, Johannes F.; Stone, Austin V.; Freehill, Michael T.

doi:10.1016/j.eats.2016.05.010

Cited by 18 publications

(22 citation statements)

References 24 publications

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“…Additionally, it has a decreased risk of traction related injury 2, 4. In either case, great care is taken to adequately secure the head and pad all bony prominences to prevent the development of pressure sores and neuropraxias 5, 6…”

Section: Surgical Techniquementioning

confidence: 99%

Diagnostic Shoulder Arthroscopy: Surgical Technique

Crimmins

Mulcahey

O’Brien

2019

Arthroscopy Techniques

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Shoulder arthroscopy is the second most common orthopaedic procedure. Diagnostic arthroscopy of the shoulder requires an efficient and reproducible technique. In this Technical Note, we describe a step-wise approach to diagnostic arthroscopy of the shoulder. This technique is performed using a posterior viewing portal. It can be performed from the beach chair or the lateral decubitus position. This technique uses a 2-circle approach: the surgeon first evaluates the glenoid aspect of the joint space, followed by the humeral aspect of the joint space. This method ensures a complete and consistent evaluation of the glenohumeral joint.

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Section: Surgical Techniquementioning

confidence: 99%

Diagnostic Shoulder Arthroscopy: Surgical Technique

Crimmins

Mulcahey

O’Brien

2019

Arthroscopy Techniques

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“…We then place the patient in the lateral decubitus position for shoulder arthroscopy with all bony prominences well padded, as described by Jinnah et al. 31 A full preoperative shoulder examination is performed under anesthesia. The extremity is prepped and draped in a sterile fashion.…”

Section: Surgical Techniquementioning

confidence: 99%

Lesser Tuberosity Avulsion Fracture Repair Using Knotless Arthroscopic Fixation

Cregar

MacLean

Verma

et al. 2018

Arthroscopy Techniques

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Although some literature may suggest that acute nondisplaced lesser tuberosity fractures should undergo nonoperative management, there is a body of evidence that supports surgical stabilization of these injuries due to concern for fracture displacement, nonunion and malunion, anteromedial impingement, and possible biceps tendon subluxation or dislocation. In this Technical Note, we introduce a novel technique for arthroscopic fixation of lesser tuberosity avulsion fractures using a knotless repair. In the lateral decubitus position using standard arthroscopic portals, with the addition of the biceps accessory portal, 2 ULTRATAPE sutures are fixed to the avulsed fragment in luggage-tag fashion to create a secure, knotless fixation. These are used to mobilize and anatomically approximate the lesser tuberosity to the avulsion bed and are held in place with suture anchors placed immediately adjacent to the fracture bed. This technique provides good anatomic reduction with maximal surface area for bone-to-bone healing.

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“…Moreover, the position provides an easier and larger access to the glenohumeral joint and subacromial space. The traction placed on the shoulder joint also allows for better visualization of labral tears [6]. Intraarticular visualization of labral tears is facilitated by the lateral traction on the humerus.…”

Section: Lateral Decubitus Positionmentioning

confidence: 99%

“…The two positions require the same preparations prior to the procedure, including shoulder marking and the use of anesthesia (general anesthesia with the possibility of an interscalene nerve block) [6]. The operating room setup required is the same in both positions, requiring an arthroscopy tower, instrument tower, fluid management and suction equipment opposite to the side where the surgeon and assistants are standing (Figure 1).…”

Section: Introductionmentioning

confidence: 99%