2021 Annual Meeting Shoulder Access Pass-Point/Counterpoint: Lateral Position Not so Fast

Point/Counterpoint: Lateral Position Not so Fast - Beach Chair

Video Transcription

Video Summary

The speaker debates the merits of lateral decubitus vs. beach chair positions for shoulder arthroscopy, emphasizing that both are effective without clear superiority. Each position has pros and cons: beach chair allows easier anatomical correlation, arm mobility, and conversion to open procedures but challenges with superior portal access and some cerebral risks; lateral decubitus offers better inferior visualization and cerebral blood flow but slight nerve injury risks. Studies show minor failure rate differences, but data is limited and sometimes biased. Ultimately, the speaker advocates for ending the position debate, focusing instead on surgical quality and technique, as either position can achieve successful repairs.

Asset Caption

Dr. Brett Owens

Keywords

lateral decubitus position

beach chair position

shoulder arthroscopy

surgical technique

position debate