Diagnostic Shoulder Arthroscopy
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Procedure Outline
Table of Contents
- Draw out bony landmarks – acromion, coracoid, soft spot
- Use thumbnail to delineate Anterolateral and Posterolateral acromion
- 2 cm inferior and slightly medial to acromial angle in the “Soft spot” between infraspinatus and teres minor
- Aiming toward coracoid, pierce skin with an 18 guage needle
- Insufflate joint with 50 cc of saline/epi solution
- Make an incision with #11 blade
- Place a blunt trocar through through capsule
- Attach inflow to arthroscopic cannula, suction as well
- Glenoid, Biceps, Humeral Head, Subscapularis, and Rotator Interval
- Visualize Rotator Cuff, check Bare Area, Labrum, and Humeral Avulsion Glenohumeral Ligament (HAGL)
- Create instrument portal through Rotator Interval
- Test Biceps Tendon
- Enter Subacromial Space
- While in the subacromial space, release the Coraco-acromial (CA) Ligament off the bone with a radiofrequency ablator
