Dry Arthroscopy of the Shoulder

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Presentation transcript:

Dry Arthroscopy of the Shoulder Pablo Rupenian, M.D.  Arthroscopy Techniques  Volume 2, Issue 4, Pages e437-e440 (November 2013) DOI: 10.1016/j.eats.2013.06.013 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 Dry arthroscopic anterior Bankart repair of a right shoulder viewed through posterior viewing portal. Note how (A) glenoid bone bed preparation, (B and C) tissue and suture management, and (D) knot tying are performed just as in the classic wet method. Arthroscopy Techniques 2013 2, e437-e440DOI: (10.1016/j.eats.2013.06.013) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 Right shoulder viewed through posterior viewing portal. (A) Dry arthroscopic view of synovitis on anterior glenohumeral capsule. (B) After synovectomy with the power shaver, vision is not compromised despite transient capsular bleeding. Arthroscopy Techniques 2013 2, e437-e440DOI: (10.1016/j.eats.2013.06.013) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 Dry arthroscopic Eden-Hybinette procedure for anterior instability with glenoid bone loss. (A) An iliac crest bone graft is introduced through an anterior portal that has just been enlarged up to 3 cm for that purpose. Two double-loaded anchors have already been inserted for further Bankart repair. One should note the absence of swelling and deformation of the shoulder even after 1 hour of arthroscopic surgery, which is because of the dry technique. (B) Bone graft fixation to anterior glenoid with cannulated screw inserted through 5-o'clock portal (posterior viewing portal). (C) Appearance of anterior mini-incision and 5-o'clock portal 1 week after surgery. Arthroscopy Techniques 2013 2, e437-e440DOI: (10.1016/j.eats.2013.06.013) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions