Comprehensive Arthroscopic Shoulder Stabilization in the Lateral Decubitus Position.

Area of Science:

• Orthopedics
• Sports Medicine
• Arthroscopic Surgery

Background:

• Shoulder instability is often treated with arthroscopic stabilization.
• Current arthroscopic techniques face challenges in accessing specific labral areas and creating safe portals.
• Debate exists regarding optimal patient positioning and techniques for anterior-inferior labral pathology.

Purpose of the Study:

• To present a safe and effective arthroscopic approach for labral repair in shoulder instability.
• To detail the use of accessory portals, specifically a "7-o'clock" portal, for suture anchor placement.
• To highlight various suture anchor and shuttling techniques for enhanced glenohumeral stabilization.

Main Methods:

• Utilizing the lateral decubitus position for arthroscopic shoulder stabilization.
• Employing accessory portals, including a percutaneous "7-o'clock" portal.
• Implementing diverse suture anchor and suture shuttling techniques.

Main Results:

• Demonstrated a safe and effective method for accessing the labrum in the lateral decubitus position.
• Facilitated suture anchor placement via a "7-o'clock" portal for anterior-inferior labral pathology.
• Showcased the versatility of different suture anchors and shuttling techniques.

Conclusions:

• The described arthroscopic approach in the lateral decubitus position provides safe and effective labral access for shoulder instability.
• Accessory portals, like the "7-o'clock" portal, enhance surgical efficiency and safety.
• This technique offers a reliable solution for restoring glenohumeral mechanics in patients with shoulder instability.