Steven F. DeFroda, M.D., M.E., Brett D. Owens, M.D. 

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Presentation transcript:

Arthroscopic Load-Shift Technique for Intraoperative Assessment of Shoulder Translation  Steven F. DeFroda, M.D., M.E., Brett D. Owens, M.D.  Arthroscopy Techniques  Volume 7, Issue 3, Pages e211-e214 (March 2018) DOI: 10.1016/j.eats.2017.08.071 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Patient in beach-chair position with left arm in pneumatic arm positioner. Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Superficial landmarks for our preferred technique in left arm. (A) Coracoid (blue arrow) and anteroinferior and anterosuperior portals (green arrows). (B) Posterior portal (green arrow) and accessory 5-o'clock portal (blue arrow). Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 View of left shoulder from anterosuperior portal. The arthroscopic load-shift test is performed with the humeral head translated in the anterior direction. The humeral head translates to the glenoid rim (arrow). (A, anterior; P, posterior.) Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 View of left shoulder from anterosuperior portal. The arthroscopic load-shift test is performed with the humeral head translated in the posterior direction. The humeral head translates to the glenoid rim (arrow). (A, anterior; P, posterior.) Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 View of left shoulder from anterosuperior portal. Further abducting the arm and performing the load-shift test can determine whether the patient's Hill-Sachs lesion (HS) engages. (A, anterior; HH, humeral head; P, posterior.) Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 View of left shoulder from anterosuperior portal. The humeral head (HH) is well centered after the stabilization procedure. (A, anterior; G, glenoid; P, posterior.) Arthroscopy Techniques 2018 7, e211-e214DOI: (10.1016/j.eats.2017.08.071) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions