Laurencin C T, Deutsch A, O'Brien S J, Altchek D W
Sports Medicine Division, Hospital for Special Surgery, Cornell University School of Medicine, New York, New York 10021.
Arthroscopy. 1994 Jun;10(3):255-8. doi: 10.1016/s0749-8063(05)80107-0.
With the advent of arthroscopic procedures for the treatment of a variety of clinical conditions affecting the shoulder has come the need for better techniques for visualization of structural pathology, and better techniques for visualization of intracapsular structures during operative procedures. We present a new portal for shoulder arthroscopy that is safe to insert, providing a panoramic view of the glenohumeral joint (especially anteriorly), and allowing unobstructed observation of large instruments passed through more traditional anterior portals nearby. The superolateral portal is particularly suited for use in anterior stabilization procedures of the shoulder, where it can be used for direct visualization of the anterior glenoid neck, thus permitting the surgeon to perform such tasks as debridement or mobilization of tissues, and placement of tacks or sutures.
随着用于治疗影响肩部的各种临床病症的关节镜手术的出现，对于更好的结构病理学可视化技术以及手术过程中囊内结构可视化技术的需求也随之而来。我们提出了一种用于肩关节镜检查的新入路，该入路插入安全，可提供盂肱关节的全景视图（尤其是前方），并能无阻碍地观察通过附近更传统的前方入路插入的大型器械。外侧上入路特别适用于肩部的前方稳定手术，在该手术中可用于直接观察前方关节盂颈部，从而使外科医生能够执行诸如组织清创或松动以及钉或缝线的放置等任务。
