The Usefulness of Beach-chair position in the Arthroscopic Treatment of Shoulder Instability

doi:2002.5.2.118

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Clin Shoulder Elb > Volume 5(2); 2002 > Article

Journal of the Korean Shoulder and Elbow Society 2002;5(2):118-123.
DOI: https://doi.org/10.5397/CiSE.2002.5.2.118 Published online December 30, 2002.

The Usefulness of Beach-chair position in the Arthroscopic Treatment of Shoulder Instability

Chang-Hyuk Choi, M.D., Min-Cheul Shin, M.D.

Dapartment of Orthopaedic Surgery Catholic University of Taegu, Korea

견관절 불안정성의 관절경적 치료에 있어 Beach chair position의 유용성

최창혁, 신민철

대구가톨릭대학교 의과대학 정형외과학교실

Abstract

Purpose
The purpose was to identify the effectiveness of beach-chair position in the arthroscopic Bankart repair over conventional lateral decubitus position with distal traction. Materials & Methods: 36 arthroscopic Bankart repair through July 2000 to July 2001 was done under beach chair position. All cases were shoulder instability. Male patients were 6 and female were 4 with average age of 25 years. Arthroscopic suture anchor was used in 24 cases and average number was 3. Results: Interscalene block was tried in 29 patients and 1 case was changed to general anesthesia. Arthroscopic examination to identify Bankart lesion and associated pathology was done without difficulty. Bankart lesions were easily reduced to anatomic position and placed suture anchor and hooking approprately. After the arthroscopic examination, 3 cases were converted to open procedure without any positional change. Conclusion: Under interscalene block, the preparation was more simple and the patient could watch arthroscopic procedure with confidence. There was no hindrance in arthroscopic examination and arthroscopic repair could be done in more anatomic position. It can be easily changed to open repair if it needed.

Key Words: Shoulder instability, Beach chair position

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