Shoulder arthroscopy positioning: lateral decubitus versus beach chair.
Since the introduction of the beach chair position for shoulder arthroscopy, orthopaedic surgeons have debated whether the beach chair or lateral decubitus is superior. Most surgeons use the same patient position to perform all of their arthroscopic shoulder procedures, regardless of the pathology. Each position has its advantages and disadvantages. The evidence regarding the efficiency, efficacy, and risks of the lateral decubitus and the beach chair positions for shoulder arthroscopy does not show one position to be superior. This review presents a comparison of these positions with regard to setup, surgical visualization, access, and patient risk.
Peruto
Christina M
CM
Rothman Institute and Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Ciccotti
Michael G
MG
Cohen
Steven B
SB
D000765:Anesthesia, Conduction; D000768:Anesthesia, General; D001182:Arthroscopy / Q000191:economics / Q000379:methods*; D001919:Bradycardia / Q000209:etiology / Q000517:prevention & control; D002544:Cerebral Infarction / Q000209:etiology / Q000517:prevention & control; D003365:Costs and Cost Analysis; D004618:Embolism, Air / Q000209:etiology / Q000517:prevention & control; D004867:Equipment Design; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000517:prevention & control; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D059348:Peripheral Nerve Injuries; D011187:Posture; D012785:Shoulder Joint / Q000601:surgery*; D013523:Surgical Equipment / Q000191:economics; D014143:Traction / Q000009:adverse effects / Q000379:methods