Higgins John D, Frank Rachel M, Hamamoto Jason T, Provencher Matthew T, Romeo Anthony A, Verma Nikhil N
Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center/Midwest Orthopaedics at Rush, Chicago, Illinois, U.S.A.
The Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2017 Jul 31;6(4):e1153-e1158. doi: 10.1016/j.eats.2017.04.002. eCollection 2017 Aug.
Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions. The beach chair position is a reliable, safe, and effective position to perform nearly all types of shoulder arthroscopic procedures. The advantages of the beach chair position include the ease of setup, limited brachial plexus stress, increased glenohumeral and subacromial visualization, anesthesia flexibility, and the ability to easily convert to an open procedure. This position is most commonly used for rotator cuff repair, subacromial decompression, and superior labrum anterior-to-posterior repair procedures. To perform arthroscopy surgery in the beach chair position successfully, meticulous care during patient positioning and setup must be taken. In this Technical Note, we describe the necessary steps to safely and efficiently prepare patients in the beach chair position for arthroscopic shoulder surgery.
关节镜下肩部手术可在沙滩椅位和侧卧位进行。沙滩椅位是进行几乎所有类型肩部关节镜手术的可靠、安全且有效的体位。沙滩椅位的优点包括设置简便、臂丛神经压力有限、盂肱关节和肩峰下视野增加、麻醉灵活性高以及易于转换为开放手术。该体位最常用于肩袖修复、肩峰下减压和上盂唇从前到后的修复手术。要成功在沙滩椅位进行关节镜手术，患者体位摆放和设置过程中必须格外小心。在本技术说明中，我们描述了将患者安全、高效地准备为沙滩椅位以进行关节镜下肩部手术的必要步骤。
