CC BY-NC-ND 4.0 · Joints 2019; 07(02): 046-055
DOI: 10.1055/s-0039-1697606
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Patient Positioning in Shoulder Arthroscopy: Which is Best?

1  Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, United States
,
2  Department of Orthopaedic and Trauma Surgery, “Villa del Sole” Clinic, Catanzaro, Italy
,
Alexander Bitzer
1  Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, United States
,
Uma Srikumaran
1  Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, United States
,
Rocco Papalia
3  Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Rome, Italy
,
1  Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, United States
› Author Affiliations
Funding None.
Further Information

Publication History

26 May 2018

06 August 2019

Publication Date:
11 October 2019 (online)

  

Abstract

When performing diagnostic and surgical arthroscopic procedures on the shoulder, the importance of patient positioning cannot be understated. The optimum patient positioning for shoulder arthroscopy should enhance intraoperative joint visualization and surgical accessibility while minimizing potential perioperative risk to the patient. Most shoulder arthroscopy procedures can be reliably performed with the patient either in the lateral decubitus (LD) or beach chair (BC) position. Although patient positioning for shoulder arthroscopy has been subject of controversy, there is no conclusive evidence to suggest superiority of one position versus another. Each position offers advantages and disadvantages and surgeon's experience and training are pivotal on selecting one position versus another. Regardless of the position, a proper positioning of the patient should provide adequate access to the joint while minimizing complications. The purpose of this review is to summarize setup and technical aspects, the advantages and disadvantages, and the possible complications of the LD and BC positions in shoulder arthroscopy.