Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 8 , Pages 891-896 , August 2009

Shoulder Arthroscopy Positioning: Lateral Decubitus Versus Beach Chair

  • Christina M. Peruto, M.D.
    • ,
  • Michael G. Ciccotti, M.D.
    • ,
  • Steven B. Cohen, M.D.

      Affiliations

    • Corresponding Author InformationAddress correspondence and reprint requests to Steven B. Cohen, M.D., Director of Sports Medicine Research, Rothman Institute Orthopedics, Department of Orthopedic Surgery, Thomas Jefferson University, 925 Chestnut St, Philadelphia, PA 19107, U.S.A.

Received 18 August 2008 ,Accepted 5 October 2008.

References 

  1. Gross RM, Fitzgibbons TC. Shoulder arthroscopy: A modified approach. Arthroscopy. 1985;1:156–159
  2. Phillips BB. Arthroscopy of the upper extremity. In:  Canale ST,  Beaty JH editor. Campbell's operative orthopaedics. Ed 11. Philadelphia: CV Mosby Elsevier; 2008;p. 2923–2926
  3. Tibone JE. Diagnostic shoulder arthroscopy in the lateral decubitus position. In:  Tibone JE,  Savoie FH,  Shaffer BS editor. Shoulder arthroscopy. New York: Springer-Verlag; 2003;p. 3–8
  4. Terry MA, Altchek DW. Diagnostic shoulder arthroscopy technique: Beach chair position. In:  Tibone JE,  Savoie FH,  Shaffer BS editor. Shoulder arthroscopy. New York: Springer-Verlag; 2003;p. 9–15
  5. Bonner KF. Patient positioning, portal placement, normal arthroscopic anatomy, and diagnostic arthroscopy. In:  Cole BJ,  Sekiya JK editor. Surgical techniques of the shoulder, elbow, and knee in sports medicine. Philadelphia: WB Saunders Elsevier; 2008;p. 3–5
  6. Skyhar MJ, Altchek DW, Warren RF, Wickiewicz TL, O'Brien SJ. Shoulder arthroscopy with the patient in the beach-chair position. Arthroscopy. 1988;4:256–259
  7. Warren RF, Morgan C. Shoulder positioning: Beach chair vs. lateral decubitus: Point/counterpoint. Arthroscopy Association of North America Newsletter 2008;March;4-5
  8. Papadonikolakis A, Wiesler ER, Olympio MA, Poehling GG. Avoiding catastrophic complications of stroke and death related to shoulder surgery in the sitting position. Arthroscopy. 2008;24:481–482
  9. Costouros JG, Clavert P, Warner JJP. Trans-cuff portal for arthroscopic posterior capsulorrahaphy. Arthroscopy. 2006;22:1138.e1–1138.e5
  10. Hennrikus WL, Mapes RC, Bratton MW, Lapoint JM. Lateral traction during shoulder arthroscopy: Its effect on tissue perfusion measured by pulse oximitry. Am J Sports Med. 1995;23:444–446
  11. Gelber PE, Reina F, Caceres E, Monllau JC. A comparison of risk between the lateral decubitus and the beach-chair position when establishing an anteroinferior shoulder portal: A cadaveric study. Arthroscopy. 2007;23:522–528
  12. Mullins RC, Drez D, Cooper J. Hypoglossal nerve palsy after arthroscopy of the shoulder and open operation with the patient in the beach-chair position (A case report). J Bone Joint Surg Am. 1992;74:137–139
  13. Park TS, Kim YS. Neuropraxia of the cutaneous nerve of the cervical plexus after shoulder arthroscopy. Arthroscopy. 2005;21:631.e1–631.e3
  14. Liguori GA, Kahn RL, Gordon J, Gordon MA, Urban MK. The use of metoprolol and glycopyrrolate to prevent hypotensive/bradycardic events during shoulder arthroscopy in the sitting position under interscalene block. Anesth Analg. 1998;87:1320–1325
  15. Pohl A, Cullen DJ. Cerebral ischemia during shoulder surgery in the upright position: A case series. J Clinical Anesth. 2005;17:463–469
  16. Klein AH, France JC, Mutschler TA, Fu FH. Measurement of brachial plexus strain in arthroscopy of the shoulder. Arthroscopy. 1987;3:35–64

 The authors report no conflict of interest.

PII: S0749-8063(08)00766-4

doi: 10.1016/j.arthro.2008.10.003

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 8 , Pages 891-896 , August 2009

Article Tools

* Image Usage & Resolution