Modified Semilateral Decubitus Position for Shoulder Arthroscopy and Its Application for Open Surgery of the Shoulder (One Setting for All Shoulder Procedures) 

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Modified Semilateral Decubitus Position for Shoulder Arthroscopy and Its Application for Open Surgery of the Shoulder (One Setting for All Shoulder Procedures)  Ekavit Keyurapan, M.D., Chaiwat Chuaychoosakoon, M.D.  Arthroscopy Techniques  Volume 7, Issue 4, Pages e307-e312 (April 2018) DOI: 10.1016/j.eats.2017.09.008 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Layout of operating room setup for right shoulder surgery. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Positioning equipment. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Patient in the semilateral decubitus position for surgery in right shoulder, viewing from posterior. The patient's head is supported by a pile of towels (T). The patient's body is supported by a spine pillow (SP) and secured by adhesive tape straps (arrows). The leg is supported by a small pillow (P) and a large pillow (LP) to free the fibular head area (F) and is secured by a restraint strap. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Patient in semilateral decubitus position prepared for right shoulder arthroscopy. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Modified semilateral decubitus position for open surgery in right shoulder. The upper part of the table is flexed and tilting upward (arrow) for a more upright shoulder position, similar to the beach-chair position. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Initial positioning for semilateral decubitus position. (A) The skin of the left shoulder is prepared with traction along the scapular plane using an atraumatic hand holder. (B) Full extension of the shoulder is achieved after traction is released, which allows preparation of the humeral stem without the obstruction of the patient's head. (C) Intraoperative photograph showing reaming of humeral canal for stem preparation. Arthroscopy Techniques 2018 7, e307-e312DOI: (10.1016/j.eats.2017.09.008) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions