Beach chair position with instrumental distraction for arthroscopic and open shoulder surgeries

Evaluation of traction stirrup distraction technique to increase the joint space of the shoulder joint in the dog: A cadaveric study

“…Distraction techniques can be classified as invasive and noninvasive. However, neither of them are exempt of complications, since non-invasive shoulder distraction techniques have been described to produce neurologic complications due to compression (Correa et al, 2008). While other non-invasive distraction techniques perform the distraction from the toes (Schulz et al, 2004), the technique described in this study only distracts the shoulder, since the pins placed through the scapular neck and the humerus limit the load applied to the joint.…”

“…Some joint distraction techniques have been widely used in human surgery to facilitate arthroscopic procedures, eliminate the need for an assistant and to reduce the potential for iatrogenic damage in several different joints (Correa et al, 2008;de Leeuw et al, 2010;Dienst et al, 2000;Flecher et al, 2011;Hoenecke et al, 2004;O'Brien et al, 1997;Qin-wei et al, 2010;Theken et al, 1992;Yates and Grana, 2010). In veterinary medicine, the use of distractors has been previously reported to reduce diaphyseal fractures (Rovesti et al, 2006a(Rovesti et al, , 2006b.…”

“…Many arthroscopic findings in the dog shoulder have been described, whose diagnosis was extremely difficult before the use of arthroscopic examination (Bardet, 1998). In human medicine, shoulder arthroscopy can be performed with the patient in either lateral recumbency or a sitting position (Correa et al, 2008), while the standard position in the dog is lateral recumbency with the leg to be operated on in uppermost position and the humerus parallel to the ground or slightly adducted (Bardet, 1998;Beale et al, 2003;Riener et al, 2009;Schulz et al, 2004). Alternatively, however, a hanging limb technique with the dog in dorsal recumbency has also been described to allow for bilateral arthroscopy (Cook and Cook, 2009).…”

“…Alternatively, however, a hanging limb technique with the dog in dorsal recumbency has also been described to allow for bilateral arthroscopy (Cook and Cook, 2009). Joint distraction has been used in human medicine to enhance arthroscopic visualization in several joints; with studies reporting the use of distraction in the shoulder (Correa et al, 2008;Hoenecke et al, 2004;O'Brien et al, 1997), ankle (de Leeuw et al, 2010;Qin-wei et al, 2010;Theken et al, 1992;Yates and Grana, 2010), elbow (Takahashi et al, 2000), hip (Dienst et al, 2000;Flecher et al, 2011), wrist (Davies et al, 2008) and knee (Hagemeister et al, 2002;Harfe et al, 1998). The role of distraction during arthroscopy is aimed at improvement in the visualization and manipulation of joint structures.…”

Basic Shoulder Arthroscopy: Beach Chair Patient Positioning

“…[1][2][3] Indications for shoulder arthroscopy are expanding, with increasing ability of the orthopaedic surgeon to identify lesions and perform more complex arthroscopic procedures. [4][5][6] This article and Video 1 review the setup of the operating room, sterile preparation, and draping for shoulder arthroscopy in the beach chair position.…”