2021 Annual Meeting Shoulder Access Pass-Point/Counterpoint: Positioning for Instability Surgery

Point/Counterpoint: Positioning for Instability Surgery – Welcome to the Future?

Video Transcription

Video Summary

In this video, the speaker, who is an Air Force Academy graduate, discusses the use of the lateral position in shoulder surgeries compared to the beach chair position. The speaker argues that the lateral position is superior due to advancements in arthroscopic techniques and its ability to counteract the effects of gravity on the shoulder. They mention studies that support the use of the lateral position, including higher quality repairs and better outcomes for posterior instability repairs. The speaker also notes potential risks and complications associated with the beach chair position, such as axillary nerve injuries and cerebral desaturation events. They ultimately conclude that the lateral position provides better anchor position, safety, and patient outcomes, and suggest that the beach chair position is becoming less common. The video acknowledges the opposing viewpoint represented by a West Point graduate named Brett.

Asset Caption

Dr. John Tokish

Keywords

lateral position

beach chair position

arthroscopic techniques

gravity effects

patient outcomes