Supine-Position Shoulder Arthroscopy Using the Anterior Portal as the Initial Approach

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures

Background:

• Traditional shoulder arthroscopy uses beach chair or lateral decubitus positions.
• These positions carry risks like cerebral hypoperfusion and brachial plexus palsy.
• Specialized equipment and complex anesthesia increase costs and challenges.

Purpose of the Study:

• To describe a novel supine position technique for shoulder arthroscopy.
• To present an alternative to traditional surgical positions.
• To highlight the safety and efficiency of the supine approach.

Main Methods:

• Shoulder arthroscopy performed entirely in the supine position.
• Utilizing the anterior portal as the primary surgical approach.
• Standard surgical instruments used without specialized tables.

Main Results:

• The supine position technique was successfully implemented.
• The procedure demonstrated safety and efficiency.
• No adverse events related to patient positioning were reported.

Conclusions:

• Supine position shoulder arthroscopy is a safe and effective alternative.
• This technique simplifies anesthetic management and reduces equipment costs.
• It offers a reliable option for surgeons performing shoulder arthroscopy.