APEX Foundations in Arthroscopy Basic Lectures-Arthroscopic Shoulder Portals

Video Transcription

Video Summary

Dr. John Orwin from the University of Wisconsin-Madison presents a talk on arthroscopic portals of the shoulder. He emphasizes the importance of patient positioning and accurately drawing the anatomy to ensure correct portal placement. He explains that portal positions can vary depending on the patient's size and anatomy. The speaker introduces the five classic shoulder portals - posterior, anterior, anterior inferior, superior, and lateral - and their uses in different procedures. He advises using blunt obturators and avoiding sharp ones to minimize damage to surrounding structures. The video demonstrates the inside-out and outside-in methods for creating portals, with emphasis on visualizing and accessing the rotator interval. The speaker also discusses subacromial portals and their placement for subacromial decompressions and distal clavicle excisions. He mentions the use of multiple lateral portals for visualization and suture management during rotator cuff repairs. The speaker concludes by touching on the portals used in the beach chair position and highlights the importance of avoiding structures like the suprascapular nerve and branches of the artery.

Asset Caption

Dr. John Orwin

Keywords

arthroscopic portals

shoulder

patient positioning

portal placement

rotator cuff repairs

subacromial portals