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Shoulder arthroscopy in the beach-chair position: Basic setup

1991; Elsevier BV; Volume: 1; Issue: 2 Linguagem: Inglês

10.1016/s1048-6666(05)80025-4

1558-3848

Jon J.P. Warner,

Nerve Injury and Rehabilitation

The traditional approach to shoulder arthroscopy with the patient in a lateral decubitus position has the disadvantages of inhibiting passive manipulation of the shoulder, requiring traction with the attendant risk of brachial plexus neuropraxia, and the need to change the patient's position and reprepare and drape the shoulder if an open procedure is determined to be necessary. To avoid these problems, Warren in 1986 developed a technique that places the patient in an upright seated position. In this position, traction is unnecessary, the shoulder is free to be passively manipulated throughout its full range of motion, and in situ capsuloligamentous anatomy may be appreciated in an undistorted position. Moreover, conversion to an open technique is easy because the patient is already in the appropriate position. This method of shoulder arthroscopy has been used successfully for arthroscopic Bankart repair, acromioplasty, and rotator cuff repair.