Christopher M. Aland MD discusses shoulder arthroscopy procedures and positions. Shoulder arthroscopy can be performed in either the beach chair or lateral decubitus position, with recent modifications to both. The lateral decubitus position involves using a standard table with supports for the axilla, head, and sides. The beach chair position uses a standard table with back support and mechanical or manual leg support and head positioning, allowing for conversion to an open procedure or posterior inferior access if needed.

1. Christopher M. Aland MD Orthopedic and Sportsmedicine Center of Bucks County

2. Disclaimer I own stock in Arthrocare and Johnson and Johnson I have no conflicts of interest that affect my ability to teach this course

3. Shoulder Arthroscopy may be done in either the Beachchair, or lateral decubitus positions. Recently there have been modifications of both.

4. Lateral Decubitus Position Standard table Beanbag or support Axillary roll Head positioner Suspension device Limits to traction Limits to Position Side Support

5. Lateral Decubitus

6. Beach Chair

7. Beach chair position Standard table with back support Mechanical Manual Leg support Head positioner Table position

8. Advantages Any discussion fails to demonstrate clear-cut difference Conversion to open procedure Access posterior inferior Anesthesia issue