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肩关节镜检查基础第三部分:侧卧位患者体位及手术室设置

Basics of Shoulder Arthroscopy Part III: Lateral Decubitus Patient Positioning and Operating Room Setup.

作者信息

Ulrich Marisa N, Meta Fabien, Pan Xuankang, Okoroha Kelechi R, Camp Christopher L

机构信息

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

出版信息

Arthrosc Tech. 2024 May 30;13(10):103080. doi: 10.1016/j.eats.2024.103080. eCollection 2024 Oct.

DOI:10.1016/j.eats.2024.103080
PMID:39479037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519868/
Abstract

Shoulder arthroscopy is one of the most common orthopaedic procedures. Since its introduction in the 1970s, significant advances have been made in surgical techniques and instrumentation. Shoulder arthroscopy is often performed in either the beach-chair or lateral decubitus position, and each positioning technique has its own benefits. In this work, we will describe the history of lateral decubitus positioning for shoulder arthroscopy. We outline a detailed guide for safe and consistent lateral decubitus positioning, and key steps of lateral decubitus positioning will be emphasized. Pearls, pitfalls, advantages, and disadvantages of this positioning technique will also be discussed. With appropriate technique, lateral decubitus positioning is safe and effective for arthroscopic treatment of various shoulder pathologies.

摘要

肩关节镜检查是最常见的骨科手术之一。自20世纪70年代引入以来,手术技术和器械方面取得了重大进展。肩关节镜检查通常在沙滩椅位或侧卧位进行,每种体位技术都有其自身的优点。在本文中,我们将描述肩关节镜检查侧卧位的历史。我们概述了安全且一致的侧卧位的详细指南,并将强调侧卧位的关键步骤。还将讨论这种体位技术的要点、陷阱、优点和缺点。采用适当的技术,侧卧位对于各种肩部病变的关节镜治疗是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9e1/11519868/32fd0207cbac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9e1/11519868/070049b4654a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9e1/11519868/32fd0207cbac/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9e1/11519868/070049b4654a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9e1/11519868/32fd0207cbac/gr2.jpg

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本文引用的文献

1
Beach Chair Versus Lateral Decubitus Surgical Positioning for Arthroscopic Anterior Shoulder Stabilization: A Retrospective Comparison of Clinical and Patient-Reported Outcomes.沙滩椅位与侧卧位在关节镜下肩关节前向稳定手术中的体位比较:临床及患者报告结局的回顾性对比
Orthop J Sports Med. 2022 Jun 28;10(6):23259671221106474. doi: 10.1177/23259671221106474. eCollection 2022 Jun.
2
Comprehensive Arthroscopic Shoulder Stabilization in the Lateral Decubitus Position.侧卧位下的肩关节镜综合稳定术
Arthrosc Tech. 2020 Oct 1;9(10):e1601-e1606. doi: 10.1016/j.eats.2020.06.027. eCollection 2020 Oct.
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Basic Shoulder Arthroscopy: Beach Chair Patient Positioning.
基础肩关节镜检查:沙滩椅位患者体位摆放
Arthrosc Tech. 2016 Jul 11;5(4):e731-e735. doi: 10.1016/j.eats.2016.02.038. eCollection 2016 Aug.
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Shoulder joint arthroscopy.肩关节镜检查
Orthopedics. 1983 Sep 1;6(9):1157-62. doi: 10.3928/0147-7447-19830901-12.
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Shoulder arthroscopy positioning: lateral decubitus versus beach chair.肩关节镜检查的体位:侧卧位与沙滩椅位
Arthroscopy. 2009 Aug;25(8):891-6. doi: 10.1016/j.arthro.2008.10.003. Epub 2008 Nov 28.
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American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix.美国骨科医师学会 骨科医师的实践:第二部分,认证考试病例组合
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Shoulder arthroscopy: a modified approach.肩关节镜检查:一种改良方法。
Arthroscopy. 1985;1(3):156-9. doi: 10.1016/s0749-8063(85)80002-5.
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Shoulder arthroscopy with the patient in the beach-chair position.患者处于沙滩椅位时进行肩关节镜检查。
Arthroscopy. 1988;4(4):256-9. doi: 10.1016/s0749-8063(88)80040-9.