Hamamoto Jason T, Frank Rachel M, Higgins John D, 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.
Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2017 Jul 31;6(4):e1169-e1175. doi: 10.1016/j.eats.2017.04.004. eCollection 2017 Aug.
Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions. The lateral decubitus position allows for excellent exposure to all aspects of the glenohumeral joint and is therefore frequently employed in procedures such as stabilization, in which extensive visualization of the inferior and posterior aspects of the joint is required. Improved visualization is imparted due to applied lateral and axial traction on the operative arm, which increases the glenohumeral joint space. To perform arthroscopy surgery in the lateral decubitus position successfully, meticulous care during patient positioning and setup must be taken. In this Technical Note, we describe the steps required to safely, efficiently, and reproducibly perform arthroscopic shoulder surgery in the lateral decubitus position.
肩关节镜手术可以在沙滩椅位和侧卧位进行。侧卧位能够很好地暴露盂肱关节的各个方面，因此常用于诸如稳定手术等需要广泛观察关节下侧和后侧的手术。由于对手术侧手臂施加了侧向和轴向牵引，增加了盂肱关节间隙，从而改善了视野。要成功地在侧卧位进行关节镜手术，患者体位摆放和准备过程中必须格外小心。在本技术说明中，我们描述了在侧卧位安全、高效且可重复地进行肩关节镜手术所需的步骤。
