Arthroscopic surgery of the shoulder is usually performed in the lateral decubitus or beachchair position. The modified beachchair position described here allows arthroscopic procedures to be performed as in the lateral position yet maintains a semiupright orientation and permits conversion to open procedures as in the beachchair position. The results of this technique are reported for 50 consecutive patients with a variety of diagnoses. This modified beachchair position was found to be quickly and easily accomplished with a minimum of special equipment.

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http://dx.doi.org/10.1016/j.arthro.2004.04.017DOI Listing

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Article Synopsis
  • * Surgeons often choose between lateral decubitus and beach-chair positions, with the beach-chair position providing better visibility and movement, but requiring careful consideration of patient safety.
  • * This Technical Note aims to outline a reliable method for positioning patients in the beach-chair position during shoulder arthroscopy, highlighting its pros and cons to ensure safe surgical practices.
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Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch.

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Basics of Shoulder Arthroscopy Part II: Diagnostic Arthroscopy in the Beach-Chair Position.

Arthrosc Tech

October 2024

Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.

Shoulder arthroscopy is a popular modality for the treatment of shoulder pathology. Since its advent in the 1970s, significant advancements have been made in both technology and technique. Shoulder arthroscopy is performed in either the beach-chair or lateral decubitus positions, and each position has its unique benefits and considerations.

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Shoulder arthroscopy is one of the most common orthopaedic procedures. Since its introduction in the 1970s, significant advances have been made in surgical techniques and instrumentation. Shoulder arthroscopy is often performed in either the beach-chair or lateral decubitus position, and each positioning technique has its own benefits.

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