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KMID : 0948920040030010030
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Clinical Pain
2004 Volume.3 No. 1 p.30 ~ p.36
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Arthroscopic Examination of the Shoulder
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Kim Seung-Ho
Cho Yong-Jin
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Abstract
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Arthroscopic examination of the shoulder is a precise procedure to diagnose various intra-articular pathologies. It is important that examiners are aware of the unique requirements of shoulder arthroscopy, including equipment, anesthesia, patient positioning, and surgical technique to ensure maximum efficacy and patient safety. Under general anesthesia, the patient is placed in the lateral decubitus position, tilting the torso 30 degrees posteriorly on the operating table. The basic diagnostic procedure consists of visualizing and video recording all of the anatomic features in the glenohumeral joint and subacromial space from the anterior and posterior portals. There is a checklist of anatomic areas, including 15 points in the glenohumeral joint and 8 points in the subacromial space to ensure a complete evaluation. A surgeon needs to be familiarized with normal anatomic structures and their variants to distinguish from pathologic lesions. By using this rigid, stepwise evaluation process, we can ensure that the anatomic review is complete in each case and that no pathologic situation goes unnoticed.
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KEYWORD
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Shoulder, Intra-articular pathology, Lateral decubitus, Arthroscopy
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