APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-Standard Portals All Shoulder Arthroscopists Should Know

Standard Portals All Shoulder Arthroscopists Should Know

Video Transcription

Video Summary

In this video, Keith Norwood provides a comprehensive guide on the proper positioning and placement of portals for shoulder arthroscopy. He emphasizes the importance of understanding the bony anatomy and major vessels and nerves in order to achieve safe and effective portal placement. Norwood explains that the angle of entry is critical for obtaining the best position for anchoring or passing sutures, and forcing instruments around corners should be avoided. He introduces the concept of the "ring of fire," which is a relatively safe area to introduce instruments. Various anterior, posterior, and lateral portals are discussed, including their locations and uses for specific procedures such as bankart repairs, rotator cuff repairs, and subacromial decompression. Norwood highlights the necessity of using a spinal needle to localize portal positions and stresses that the number of portals used improves suture management and overall efficiency. The video concludes with the reminder to choose safe portals and angles for successful shoulder arthroscopy.

Asset Caption

Keith Nord, M.D.

Keywords

shoulder arthroscopy

portal placement

bony anatomy

suture management

safe portals