Basics of Shoulder Arthroscopy Part I: Beach-Chair Patient Positioning and Operating Room Setup.

Arthrosc Tech

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

Published: October 2024

AI 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.

Article Abstract

A broad range of shoulder pathologies are treated with shoulder arthroscopy due to its minimally invasive nature. Mastering the fundamentals is critical for high-quality care; this includes patient positioning. Surgeons must consider the advantages and disadvantages of the 2 most prominent patient positions: lateral decubitus and beach chair. The beach-chair position offers an intuitive anatomic view with the advantage of shoulder maneuverability. Understanding the associated pitfalls related to patient hemodynamics; head, neck, and shoulder positioning; and protection of bony prominences can guide the operative care team to obtaining a safe position for the patient. The purpose of this Technical Note and video is to present and demonstrate a reproducible and teachable method for safely positioning a patient in the beach-chair position for shoulder arthroscopy, as well as to describe the associated advantages and disadvantages.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519874PMC
http://dx.doi.org/10.1016/j.eats.2024.103082DOI Listing

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