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Arthroscopic Technique for Posterior Labral Repair in the Beach-Chair Position
Saad M AlQahtani1, Victor A Pacheco2, Adeeba A AlBadran3
1Department of Orthopedic Surgery, College of Medicine Imam Abdulrahman Bin Faisal University Dammam Saudi Arabia.
Arthroscopy Techniques
|July 31, 2026
Summary
This study presents a novel arthroscopic technique for posterior labral repair in the beach-chair position. It enhances visualization of the posterior-inferior glenoid, improving surgical outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Shoulder Joint Biomechanics
Background:
- Posterior labral repair is frequently performed in the lateral decubitus position.
- The beach-chair position offers comparable outcomes but presents visualization challenges for the posterior-inferior glenoid.
- Optimizing visualization is crucial for successful arthroscopic posterior labral repair.
Purpose of the Study:
- To describe a reproducible arthroscopic technique for posterior labral repair in the beach-chair position.
- To address the perceived limitation of glenoid visualization in the beach-chair setup.
- To maintain the ergonomic benefits of the beach-chair position while ensuring effective posterior stabilization.
Main Methods:
- Strategic placement of a posterolateral viewing portal for enhanced exposure.
- Dynamic switching between anterior and posterior working portals for suture passage and anchor insertion.
- Controlled anterior translation of the humeral head to improve glenoid access.
- Inferior-to-superior fixation to restore labral anatomy and capsulo-labral tension.
Main Results:
- The described technique optimizes visualization of the posterior-inferior glenoid in the beach-chair position.
- It facilitates reproducible suture passage and anchor insertion.
- The method allows for anatomic restoration of the labrum and capsulo-labral tension.
Conclusions:
- This technique offers a viable solution for arthroscopic posterior labral repair in the beach-chair position.
- It overcomes visualization limitations while preserving the advantages of the beach-chair setup.
- It aligns with established principles of arthroscopic posterior stabilization.
