Skip to main content
SpringerLink
Log in

Diagnostic Shoulder Arthroscopy and Arthroscopic Anatomy

  • Chapter
MRI-Arthroscopy Correlations

  • 2955 Accesses

Abstract

Shoulder arthroscopy is a common procedure in orthopedic surgery. It is becoming more popular with advancements in technology and instrumentation. The number of shoulder disorders being treated arthroscopically has increased steadily in recent years. Shoulder arthroscopy has many uses today, spanning from diagnostic arthroscopy to complex reconstructive procedures. In addition to glenohumeral arthroscopy, subacromial arthroscopy has also expanded in the past two decades. More recently, subdeltoid arthroscopy is being utilized as a newer way to access the anterior shoulder. As with any surgery, a thorough understanding of the normal anatomy and common variations is important, but more so in shoulder arthroscopy as fluid extravasation and swelling may distort anatomic landmarks and potentially lead to increased complications and neurologic injury. Many decisions need to be made prior to an arthroscopic shoulder procedure. These include selection of anesthesia, patient positioning, and portal use. This chapter will discuss the various options and considerations for shoulder arthroscopy. In addition, it will aid in portal selection, go over a diagnostic shoulder arthroscopy, and discuss the pertinent applied anatomy of the shoulder.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Andren L, Lundberg BJ. Treatment of rigid shoulders by joint distention during arthroscopy. Acta Orthop Scand. 1965;36:45–53.

    Article  CAS  PubMed  Google Scholar 

  2. Snyder SJ, Karzel RP, Del Pizzo W. SLAP lesion of the shoulder. Arthroscopy. 1990;6:274–9.

    Article  CAS  PubMed  Google Scholar 

  3. Yamaguchi K, Levine WN, Marra G, Galatz LM, Klepps S, Flatow EL. Transitioning to arthroscopic rotator cuff repair: the pros and cons. Instr Course Lect. 2003;52:81–92.

    PubMed  Google Scholar 

  4. Bishop JY, Sprague M, Gelber J. Interscalene regional anesthesia for shoulder surgery. J Bone Joint Surg Am. 2005;87(5):974–9.

    Article  PubMed  Google Scholar 

  5. Yadeau JT, Liu SS, Bang H. Cerebral oximetry desaturation during shoulder surgery performed in a sitting position under regional anesthesia. Can J Anaesth. 2011;58(11):986–92.

    Article  PubMed  Google Scholar 

  6. Wu CL, Rouse LM, Chen JM, Miller RJ. Comparison of postoperative pain in patients receiving interscalene block or general anesthesia for shoulder surgery. Orthopedics. 2002;25:45–8.

    PubMed  Google Scholar 

  7. Liu SS, Gordon MA, Shaw PM, Wilfred S, Shetty T, Yadeau JT. A prospective clinical registry of ultrasound-guided regional anesthesia for ambulatory shoulder surgery. Anesth Analg. 2010;111(3):617–23.

    Article  CAS  PubMed  Google Scholar 

  8. Wu CL, Naqibuddin M, Fleisher LA. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med. 2001;26:196–208.

    CAS  PubMed  Google Scholar 

  9. Bryan NA, Swenson JD, Greis PE, Burks RT. Indwelling interscalene catheter use in an outpatient setting for shoulder surgery: technique, efficacy, and complications. JSES. 2007;16(4):388–95.

    Google Scholar 

  10. Rains DD, Rooke GA, Wahl CJ. Pathomechanisms and complications related to patient positioning and anesthesia during shoulder arthroscopy. Arthroscopy. 2011;27(4):532–41.

    Article  PubMed  Google Scholar 

  11. Skyhar MJ, Altchek DW, Warren RF, Wickiewicz TL, O’Brien SJ. Shoulder arthroscopy with the patient in the beach-chair position. Arthroscopy. 1988;4(4):256–9.

    Article  CAS  PubMed  Google Scholar 

  12. Hennrikus WL, Mapes RC, Bratton MW, Lapoint JM. Lateral traction during shoulder arthroscopy: Its effect on tissue perfusion measured by pulse oximetry. Am J Sports Med. 1995;23(4):444–6.

    Article  CAS  PubMed  Google Scholar 

  13. Peruto CM, Ciccotti MG, Cohen SB. Shoulder arthroscopy positioning: lateral decubitus versus beach chair. Arthroscopy. 2009;25(8):891–6.

    Article  PubMed  Google Scholar 

  14. Gross RM, Fitzgibbons TC. Shoulder arthroscopy: a modified approach. Arthroscopy. 1985;1(3):156–9.

    Article  CAS  PubMed  Google Scholar 

  15. Klein AH, France JC, Mutschler TA, Fu FH. Measurement of brachial plexus strain in arthroscopy of the shoulder. Arthroscopy. 1987;3:35–64.

    Google Scholar 

  16. Meyer M, Graveleau N, Hardy P, Landreau P. Anatomic risks of shoulder arthroscopy portals: anatomic cadaveric study of 12 portals. Arthroscopy. 2007;23(5):529–36.

    Article  PubMed  Google Scholar 

  17. Lo IK, Burkhart SS, Parten PM. Surgery about the coracoid: neurovascular structures at risk. Arthroscopy. 2004;20(6):591–5.

    Article  PubMed  Google Scholar 

  18. Burkhead Jr WZ, Scheinberg RR, Box G. Surgical anatomy of the axillary nerve. J Shoulder Elbow Surg. 1992;1(1):31–6.

    Article  PubMed  Google Scholar 

  19. Stephenson DR, Hurt JH, Mair SD. Rotator cuff injury as a complication of portal placement for superior labrum anterior-posterior repair. J Shoulder Elbow Surg. 2012;21(10):1316–21.

    Article  PubMed  Google Scholar 

  20. Bigliani LU, Dalsey RM, McCann PD, April EW. An anatomical study of the suprascapular nerve. Arthroscopy. 1990;6(4):301–5.

    Article  CAS  PubMed  Google Scholar 

  21. O’Brien SJ, Taylor SA, DiPietro JR, Newman AM, Drakos MC, Voos JE. The arthroscopic “subdeltoid approach” to the anterior shoulder. J Shoulder Elbow Surg. 2013;22:e6–10.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics, University of Virginia Medical Center, Charlottesville, VA, USA

    Abdurrahman Kandil MD

  2. Department of Orthopedic Surgery, University of Virginia, Charlottesville, VA, USA

    Stephen F. Brockmeier MD

Authors
  1. Abdurrahman Kandil MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stephen F. Brockmeier MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Abdurrahman Kandil MD .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Virginia, Charlottesville, Virginia, USA

    Stephen F. Brockmeier

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Kandil, A., Brockmeier, S.F. (2015). Diagnostic Shoulder Arthroscopy and Arthroscopic Anatomy. In: Brockmeier, S. (eds) MRI-Arthroscopy Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2645-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-2645-9_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2644-2

  • Online ISBN: 978-1-4939-2645-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation