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Patient Positioning, Portals, Fluid Management, and Diagnostic Arthroscopy

  • Sandeep Mannava
  • Erik M. Fritz
  • Salvatore J. Frangiamore
  • Nicole Anderson
  • Burak Altintas
  • Peter J. Millett
Chapter

Abstract

The indications for arthroscopic shoulder surgery continue to expand. With advancements in surgical technique and surgical technology, more advanced arthroscopic procedures are now being performed routinely. Access to and visualization of the various anatomic structures and compartments of the shoulder joint is paramount to successfully performing shoulder arthroscopy. Proper patient positioning, portal placement, and fluid management aid in adequate exposure, minimizes complications, and facilitates efficiency during shoulder arthroscopy. The purpose of this chapter is to outline the authors’ preferred techniques for patient positioning and portal placement. Additionally visualization of the various anatomic structures will be described through proper fluid management and basic diagnostic arthroscopy techniques.

Keywords

Arthroscopic shoulder surgery Patient positioning Diagnostic Fluid management Portal placement Surgical technique 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sandeep Mannava
    • 1
  • Erik M. Fritz
    • 2
  • Salvatore J. Frangiamore
    • 3
  • Nicole Anderson
    • 4
  • Burak Altintas
    • 5
  • Peter J. Millett
    • 6
  1. 1.Department of Orthopedics and Rehabilitation, Division of Sports MedicineDivision of Shoulder and Elbow Surgery, University of RochesterRochesterUSA
  2. 2.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  3. 3.Summa Health Orthopaedics and Sports MedicineAkronUSA
  4. 4.The Steadman ClinicVailUSA
  5. 5.Department of Orthopeadic Surgery and Sports MedicineUniversity of KentuckyLexingtonUSA
  6. 6.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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