دانلود رایگان مقاله تثبیت موقعیت صندلی بیمار آرتروسکوپی شانه اصلی

Abstract

Shoulder arthroscopy is an orthopaedic procedure that has grown significantly in popularity over the last 40 years. The 2 principle patient positions during shoulder arthroscopy include the beach chair position and lateral decubitus position. This Technical Note details the operating room setup for shoulder arthroscopy in the beach chair position. Proper positioning for this procedure will minimize potential complications and facilitate ease of surgical intervention. The authors report the following potential conflict of interest or source of funding: S.M. and C.J.T. receive funding from Wake Forest Innovations Spark Award Research Grant. S.M. and C.J.T. were also awarded with US patent 08926626. M.T.F. receives support from Smith & Nephew, DJO, and DePuy Mitek.

Discussion

Arthroscopic shoulder surgery is highly effective at treating shoulder pathology and continues to grow in popularity because of its success.7,9,10 Shoulder arthroscopy evolved from a solely diagnostic procedure to the current ability to perform complex repairs and reconstructions. Arthroscopy offers several advantages versus open procedures including decreased morbidity, length of hospital stay, and postoperative pain, in addition to improved cosmesis.11-13 Furthermore, continued progression of technology has allowed the treatment of more complex shoulder pathology.3 The 2 positions that may be used when performing shoulder arthroscopy are the beach chair and lateral decubitus positions. The position chosen is chiefly dependent on surgeon preference and neither has been shown to be superior to the other.14 The scope of this article focuses on beach chair positioning and the critical steps taken to minimize perioperative complications.