Skip to main content
SpringerLink
Log in

Portal Placement and Related Anatomy

  • Chapter
  • First Online:
Shoulder Arthroscopy

  • 484 Accesses

Abstract

Shoulder arthroscopy is a minimally invasive technique that allows optimal visualization of the glenohumeral joint, subacromial, peri-coracoid, and nearby areas. With shoulder arthroscopy and techniques progressing rapidly, deep knowledge of the relevant anatomy, the pathologic conditions, and the surgical procedures are more crucial than ever; correct portal placement is an essential part of this process in order to get extensive visualization, access, and maneuverability to the areas of interest.

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 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover 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. 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 

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

    Article  PubMed  Google Scholar 

  3. Uno A, Bain GI, Mehta JA. Arthroscopic relationship of the axillary nerve to the shoulder joint capsule: an anatomic study. J Shoulder Elbow Surg. 1999;8(3):226–30.

    Article  CAS  PubMed  Google Scholar 

  4. Ball CM, Steger T, Galatz LM, Yamaguchi K. The posterior branch of the axillary nerve: an anatomic study. J Bone Joint Surg Am. 2003;85(8):1497–501.

    Article  PubMed  Google Scholar 

  5. 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 

  6. Andrews JR, Carson WG Jr, Ortega K. Arthroscopy of the shoulder: technique and normal anatomy. Am J Sports Med. 1984;12(1):1–7.

    Article  CAS  PubMed  Google Scholar 

  7. Davidson PA, Rivenburgh DW. The 7-o’clock posteroinferior portal for shoulder arthroscopy. Am J Sports Med. 2002;30(5):693–6.

    Article  PubMed  Google Scholar 

  8. Wolf EM. Anterior portals in shoulder arthroscopy. Arthroscopy. 1989;5(3):201–8.

    Article  CAS  PubMed  Google Scholar 

  9. Davidson PA, Tibone JE. Anterior-inferior (5 o’clock) portal for shoulder arthroscopy. Arthroscopy. 1995;11(5):519–25.

    Article  CAS  PubMed  Google Scholar 

  10. Lo IK, Lind CC, Burkhart SS. Glenohumeral arthroscopy portals established using an outside-in technique: neurovascular anatomy at risk. Arthroscopy. 2004;20(6):596–602.

    Article  PubMed  Google Scholar 

  11. Boileau P, Hardy MB, McClelland WB Jr, Thelu CE, Schwartz DG. Arthroscopic posterior bone block procedure: a new technique using suture anchor fixation. Arthrosc Tech. 2013;2(4):e473–7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Wellmann M, Pastor MF, Ettinger M, Koester K, Smith T. Arthroscopic posterior bone block stabilization-early results of an effective procedure for the recurrent posterior instability. Knee Surg Sports Traumatol Arthrosc. 2018;26(1):292–8.

    Article  PubMed  Google Scholar 

  13. Ellman H. Arthroscopic subacromial decompression: analysis of one- to three-year results. Arthroscopy. 1987;3(3):173–81.

    Article  CAS  PubMed  Google Scholar 

  14. Neviaser TJ. Arthroscopy of the shoulder. Orthop Clin North Am. 1987;18(3):361–72.

    Article  CAS  PubMed  Google Scholar 

  15. Lafosse L, Piper K, Lanz U. Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg. 2011;20(2 Suppl):S9–13.

    Article  PubMed  Google Scholar 

  16. Rosso C, Bongiorno V, Samitier G, Dumont GD, Szollosy G, Lafosse L. Technical guide and tips on the all-arthroscopic Latarjet procedure. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):564–72.

    Article  PubMed  Google Scholar 

  17. Said HG, AbdelKawi AF, Fetih TN, Kandil AW. A shortcut to arthroscopic suprascapular nerve decompression at the suprascapular notch: arthroscopic landmarks and surgical technique. Arthrosc Tech. 2017;6(5):e1709–e13.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lafosse T, Masmejean E, Bihel T, Lafosse L. Brachial plexus endoscopic dissection and correlation with open dissection. Chir Main. 2015;34(6):286–93.

    Article  CAS  PubMed  Google Scholar 

  19. Marsalli M, Moran N, Laso JI. Arthroscopic acromioclavicular joint reconstruction with tightrope and fibertape loop. Arthrosc Tech. 2018;7(11):e1103–e8.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Nair R, Kahlenberg CA, Patel RM, Knesek M, Terry MA. All-arthroscopic suprapectoral biceps tenodesis. Arthrosc Tech. 2015;4(6):e855–61.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Voleti PB, Camp CL, Sinatro AL, Dines JS. Arthroscopic removal of symptomatic proximal humerus locking plates with bone-void filler augmentation. Arthrosc Tech. 2016;5(2):e343–6.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centro Médico Quironsalud Aribau, Barcelona, Spain

    Gonzalo Samitier

  2. Hospital el Pilar, Barcelona, Spain

    Gonzalo Samitier

  3. Instituto Cugat, Hospital Quironsalud, Barcelona, Spain

    Eduard Alentorn-Geli

Authors
  1. Gonzalo Samitier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eduard Alentorn-Geli
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gonzalo Samitier .

Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Samitier, G., Alentorn-Geli, E. (2023). Portal Placement and Related Anatomy. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-66868-9_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-66867-2

  • Online ISBN: 978-3-662-66868-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation