Abstract
Shoulder arthroscopy turned, in the last 20 years, in a fundamental diagnostic and treatment tool. Since the first description of subacromial decompression by Ellman (Arthroscopy 3:173–181, 1987), there has been a constant evolution driven by basic science, biomechanics, and engineering that turned possible that nowadays most of the instability, rotator cuff, and part of the articular degenerative problems of the shoulder girdle are treated using arthroscopy. Arthroscopy should be looked as a tool to deal with certain problems. This means that it should be used in the right indication, with the correct technique and taking into account the “state of the art” for the treatment of the pathology. Behind the technical gesture lies the most important part of arthroscopy. The ability of the surgeon to recognize what is not normal, what is a normal variance, if the structural damage observed is the primary cause of the patient complaints, and finally the decisions of the correct way to deal with the problem, allied with a good technique, are altogether the keys of success. In this chapter, we will explain the technical aspects together with the pathologic and clinical relevant issues.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ellman H. Arthroscopic subacromial decompression: analysis of one- to three-year results. Arthroscopy. 1987;3:173–81.
Snyder SJ. Shoulder arthroscopy. Philadelphia: Lippincott Williams & Wilkins; 2003.
Walch G, Boileau P, Noel E, Donell ST. Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim: an arthroscopic study. J Shoulder Elbow Surg. 1992;1:238–45.
Williams MM, Snyder SJ, Buford Jr D. The Buford complex – the “cord-like” middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant. Arthroscopy. 1994;10:241–7.
Morrison DS, Schaefer RK, Friedman RL. The relationship between subacromial space pressure, blood pressure, and visual clarity during arthroscopic subacromial decompression. Arthroscopy. 1995;11:557–60.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
The video illustrates diagnostic arthroscopy of the glenohumeral joint and subacromial space and highlights the most important anatomic structures identified during the procedure (MPG 75588 kb)
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Cartucho, A.E.G.C. (2014). Diagnostic Shoulder Arthroscopy. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_11
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5427-3_11
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5426-6
Online ISBN: 978-1-4471-5427-3
eBook Packages: MedicineMedicine (R0)