Arthroscopic Shoulder Surgery: Techniques and Positioning

Techniques for Arthroscopic Shoulder Surgery

Arthroscopic shoulder surgery is a minimally invasive surgical procedure that involves inserting a small camera, called an arthroscope, into the shoulder joint to visualize and repair or remove damaged tissue. There are several techniques used in arthroscopic shoulder surgery, including:

• Antegrade nailing: Involves inserting a nail into the humerus bone through the shoulder joint to stabilize it.
• Anterolateral anterior plating: Uses a plate and screws to stabilize the shoulder joint by attaching them to the anterolateral and anterior aspects of the humerus.
• External fixation: Involves using external fixators, which are devices that are attached to the outside of the body and connected to the bones to provide stability.

Importance of Patient Positioning

Patient Positioning

Proper patient positioning is crucial for successful arthroscopic shoulder surgery. Incorrect positioning can limit the surgeon's access to the shoulder joint and increase the risk of complications. The most common positioning used for arthroscopic shoulder surgery is the beach chair position, where the patient sits upright with their back supported and their arm positioned over a padded armrest.

In certain cases, alternative positioning may be necessary. For example, lateral decubitus positioning, where the patient lies on their side, may be used for procedures involving the posterior aspect of the shoulder joint.

Reduction in Complications

Positioning the patient in the beach chair position has been shown to reduce complications in arthroscopic shoulder surgery. Studies have demonstrated that this position results in reduced nerve injuries, better access to the shoulder joint, and improved visualization of the surgical field.

Conclusion

Proper patient positioning is essential for successful arthroscopic shoulder surgery. The beach chair position is the most commonly used and effectively reduces complications. Surgeons should carefully consider patient positioning to ensure optimal access to the surgical site and to minimize the risk of complications.