title: The adduction distraction maneuver.
abstract: The adduction distraction maneuver is presented as an adjunct to the surgeon's technical skills to assist with the initial introduction of the shoulder arthroscope. Both novice and experienced arthroscopists can experience difficulty establishing access to the glenohumeral joint. Often this results in articular cartilage or soft tissue damage. The adduction distraction maneuver when used in the "beach chair" seated position for shoulder arthroscopy can facilitate posterior portal placement and minimize iatrogenic trauma.
authors.affiliation: Hospital For Special Surgery, New York, New York 10021, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: O'Brien
authors.forename: D M
authors.initials: DM
authors.lastname: Gonzalez
authors.forename: J M
authors.initials: JM
authors.lastname: Wright
authors.forename: S
authors.initials: S
authors.lastname: Fealy
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D008349:Manipulation, Orthopedic / Q000379:methods*; D011187:Posture; D012785:Shoulder Joint / Q000033:anatomy & histology / Q000601:surgery