- Volume 6 Issue 1
Object: To evaluate the efficiencies of the arthroscopic rotator cuff surgery which is Performed without the traction system in the lateral decubitus position. Methods: Twenty-nine cases of the arthroscopic rotator cuff surgery performed without the traction system in the lateral decubitus position were studied from February, 2002 to January, 2005. We performed a repair using the arthroscopic debridement and the arthroscopic rotator cuff repair, or using the mini-open incision technique after the confirmation of rotator cuff tear, then, the arthroscopic subacromial decompression was performed after the confirmation of subacromial lesions Results: We could easily find the subscapularis tear which was often overlooked in the arthroscopic rotator cuff surgery performed with the traction surgery by the relaxation of the subscapularis, as the arm position was internally rotate about 45 to 70 degrees from abducted position. We found that the operation time was reduced 14 minutes shorter than the operation time of the controlled group which had the surgery with the traction system on the average. We also found that there were no neurovascular complications from all cases. Conclusions: The arthroscopic rotator cuff surgery without traction system in the lateral decubitus position provided the better visual field, easy manipulation of the joint and reducing operation time.
Shoulder;Rotator cuff;Repair;Traction system.
- Andrew JR and Carson WG: Shoulder joint arthroscopy. Orthopedics, 6:1157-1162, 1983.
- Cofield RH: Arthroscopy of the shoulder. Mayo Clinic Proc, 58:501-508, 1983.
- D' Alessio JR, Weller RS and Rosenblnm M: Activation of the Bezold-Jarisch reflex in the sitting position for shoulder arthroscopy using interscalene block. Anesth Analg, 80:1158-1162, 1995. https://doi.org/10.1097/00000539-199506000-00016
- Kahn RL and Hargett MJ: Beta-adrenergic blockers and vasovagal episodes during shoulder surgery on the sitting position under interscalene block. Anesth Analg, 88:378-381, 1999. https://doi.org/10.1097/00000539-199902000-00029
- Klein AH, France JC, Mutschler TA and Fu FH: Measurement of brachial plexus strain in arthroscopy of the shoulder. Arthroscopy, 3:45-52, 1987. https://doi.org/10.1016/S0749-8063(87)80009-9
- Liguori GA, Kahn RL, Gordon J, Gordon MA and Urban MK: The use of metoprolol and glycopyrrolate to prevent hypotensive/bradycardic events during shoulder arthroscopy in the sitting position under interscalene block. Anesth Analg, 87:1320-1325, 1998. https://doi.org/10.1097/00000539-199812000-00020
- Lo IK and Burkhart SS: The comma sign. An arthroscopic guide to the tom subscapularis tendon. Arthroscopy, 19:334-337, 2003. https://doi.org/10.1053/jars.2003.50080
- Massoud SN, Levy O and Copeland SA: Treatment for small-and medium- sized tears of the rotator cuff. J Bone Joint Surg, 84B:955-960, 2002.
- Mullin RC, Drez DJ and Cooper J: Hypoglossal nerve palsy after arthroscopy of the shoulder and open operation with the patient in the beachchair position. A case report. J Bone Joint Surg, 74A:137-139, 1992.
- Paulos LE and Franklin JL: Arthroscopic shoulder decompression development and application: a five-year experience. Am J Sports Med, 18:235-244, 1990. https://doi.org/10.1177/036354659001800303
- Pitman MI, Nainzadeh N, Ergas E and Springer S: The use of somatosensory evoked potentials for detection of neuropraxia during shoulder arthroscopy. Arthroscopy, 4:250-255, 1988. https://doi.org/10.1016/S0749-8063(88)80039-2
- Skyhar MJ, Altchek DW and Warren RF: Shoulder arthroscopy with the patient in the beach-chair position. Arthroscopy, 4:256-259, 1988. https://doi.org/10.1016/S0749-8063(88)80040-9
- Thomazrau H, Gleyze P and Lafosse L: Arthroscopic assessment of full-thickness rotator cuff tears. Arthroscopy, 16:367-372, 2000. https://doi.org/10.1016/S0749-8063(00)90080-X
- Wakin E and Beaufils P: Arthroscopy of the shoulder with the patient in the beach-chair position. Rev Chir Orthop Reparatrice Appar Mot, 77:577-580, 1991.