Meta Fabien, Ulrich Marisa N, Clark Sean C, Barlow Jonathan D, Okoroha Kelechi R, Camp Christopher L
Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2024 Jun 29;13(10):103081. doi: 10.1016/j.eats.2024.103081. eCollection 2024 Oct.
Shoulder arthroscopy is a versatile method for treating a variety of shoulder pathologies in a minimally invasive manner. Typically, it is performed with the patient positioned in a beach-chair or lateral decubitus position with the latter being conventionally preferred for shoulder instability work given the use of traction and creation of a distracted joint. This allows ideal visualization and accessibility of the anterior, inferior, and posterior aspects of the glenoid, labrum, and axillary pouch. Despite the apparent advantages, the lateral decubitus position comes with its own technical challenges. Many of these may stem from surgeon training, experience, and level of familiarity with the positioning and arthroscopic view. This Technical Note demonstrates a reproducible and teachable method for efficient and effective diagnostic shoulder arthroscopy in the lateral decubitus position, along with presenting its associated advantages and disadvantages.
肩关节镜检查是一种以微创方式治疗多种肩部病变的通用方法。通常，手术时患者取沙滩椅位或侧卧位，鉴于使用牵引及制造关节间隙，传统上更倾向于采用侧卧位进行肩部不稳定手术。这有利于理想地观察和触及肩胛盂、盂唇及腋袋的前、下和后方面。尽管有明显优势，但侧卧位也有其自身的技术挑战。其中许多可能源于外科医生的培训、经验以及对该体位和关节镜视野的熟悉程度。本技术说明展示了一种在侧卧位进行高效、有效诊断性肩关节镜检查的可重复且可传授的方法，并阐述了其相关的优缺点。
