Improving visualization in shoulder arthroscopy

• Published in: Clinics in Shoulder and Elbow Vol. 26; no. 4; pp. 455 - 461
• Main Authors: Emily R. McDermott, David J. Tennent, Daniel J. Song
• Format: Journal Article
• Language: English
• Published: 대한견주관절의학회 01-12-2023; Korean Shoulder and Elbow Society; 대한견주관절학회
• Subjects: arthroscopy; review; shoulder; surgery; visualization; 정형외과학; Visualization; Arthroscopy; Review; Shoulder; Surgery
• ISSN: 2383-8337; 2288-8721
• DOI: 10.5397/cise.2022.01291

Arthroscopic shoulder procedures are one of the most common procedures used to restore function through minimally invasive techniques. With the demand for shoulder arthroscopic procedures comes the need for safe, effective, and efficient surgery that maximizes patient outcomes while minimizing complications. Many variables contribute to visualization in shoulder arthroscopy including vascular anatomy, blood pressure control, arthroscopic pump systems, turbulence control, epinephrine, and tranexamic acid. Furthermore, patient positioning can have a dramatic effect on visualization with both the beach chair position and lateral decubitus positioning having various strengths and weaknesses depending on the intended procedure being performed. The purpose of this review is to examine the benefits and complications reported in the literature for improving visualization in shoulder arthroscopy.