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Diagnostic Shoulder Arthroscopy in the Lateral Decubitus Position

  • James E. Tibone

Abstract

Arthroscopy of the shoulder has become increasingly popular as a standard diagnostic and therapeutic surgical technique among orthopedic surgeons worldwide. Evolving technology has furthered our understanding of the shoulder and its associated pathology; as a result, progressive advances and improvements in both surgical equipment and technique continue to be realized. Current arthroscopic treatment of common shoulder problems such as instability and rotator cuff tears has led to outcomes that are comparable to those achieved with standard open procedures, yet with less morbidity. Arthroscopy also allows visualization and treatment of certain intra-articular pathology e.g., SLAP lesions) that are not easily accessible by open means. The single limitation associated with arthroscopic shoulder surgery is the learning curve. Some procedures are technically demanding and may prove challenging to anyone without considerable experience. This chapter presents a basic overview of our simple and reproducible surgical technique for diagnostic shoulder arthroscopy. We outline the operating room setup and patient positioning for arthroscopy in the lateral decubitus position, and also describe the conventional portals utilized in routine diagnostic shoulder arthroscopy.

Keywords

Rotator Cuff Lateral Decubitus Position Glenohumeral Joint Rotator Interval Forward Flexion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Recommended Reading

  1. Caspari RB. Instrumentation and operating room organization for arthroscopy of the shoulder. In: McGinty JB, ed. Arthroscopic Surgery Update: Techniques in Orthopaedics. Rockville, MD: Aspen Systems Corp; 1985: 15–24, 155–160.Google Scholar
  2. Matthews LS, Zarins B, Michael RH, et al. Anterior portal selection for shoulder arthroscopy. Arthroscopy 1985;1: 33–39.PubMedCrossRefGoogle Scholar
  3. Stanish WD, Peterson DC. Shoulder arthroscopy and nerve injury: pitfalls and prevention. Arthroscopy 1995; 11: 458–466.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  • James E. Tibone

There are no affiliations available

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