AANA Shoulder Arthroscopy - August 2024-How to Get There

Video Transcription

Video Summary

Keith Norwood discusses the importance of proper portal placement in shoulder arthroscopy, emphasizing knowledge of bony anatomy and neurovascular structures for safety and effectiveness. He introduces the "ring of fire" as a relatively safe zone for portal insertion, recommending spinal needle localization to ensure precision. Portals are categorized as anterior, posterior, lateral/superior, and subacromial, each serving specific roles such as viewing, anchor placement, or suture passing. Key anterior portals include anterior superior lateral, anterior inferior, 5 o'clock, and subclavian, while posterior portals include standard, accessory, and high/low variations for different repair needs. Superior portals like the Nevizor and modified Nevizor provide access for suture retrieval and rotator cuff repairs. Norwood highlights techniques to minimize tissue damage, improve suture management, and enhance surgical efficiency. He stresses the "game of angles" analogy, advocating for safe, well-angled portals to avoid instrument forcing and ensure successful shoulder pathology treatment.

Asset Caption

Keith Nord, MD

Keywords

shoulder arthroscopy

portal placement

ring of fire

anterior and posterior portals

suture management