ANTERIOR-INFERIOR (5-OCLOCK) PORTAL FOR SHOULDER ARTHROSCOPY

被引：73

作者：

DAVIDSON, PA ^{[1
]}

TIBONE, JE ^{[1
]}

机构：

[1] KERLAN JOBE ORTHOPED CLIN,INGLEWOOD,CA

来源：

ARTHROSCOPY | 1995年 / 11卷 / 05期

关键词：

SHOULDER ARTHROSCOPY; ANTERIOR-INFERIOR (5 OCLOCK) PORTAL;

D O I：

10.1016/0749-8063(95)90126-4

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The present study describes an anterior-inferior portal for arthroscopic shoulder instrumentation at the 5 o'clock position along the glenoid rim. An anterior-inferior portal was established in 14 cadaver shoulders. The portal was created in an inside-to-outside fashion, with the humerus maximally adducted, directing the guide rod as far lateral as possible. Using the described technique, a 5 o'clock portal travels through the subscapularis and lateral to the conjoined tendon. Distance between the portal and the musculocutaneous nerve was 22.9 +/- 4.9 mm (mean +/- SD), and 24.4 +/- 5.7 mm between the portal and the axillary nerve. Previously described portals were either at, or above the 3 o'clock position, resulting in an acute, difficult angle of approach to the glenoid neck. Through a combination of proper arm positioning and rod insertion technique, the 5 o'clock portal can be created safely and is of great potential utility for arthroscopic shoulder stabilization procedures.

引用

页码：519 / 525

页数：7

共 6 条

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