Patient Positioning, Portals, Fluid Management, and Diagnostic Arthroscopy
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.