• Clinics in Shoulder and Elbow
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• v.5 no.2
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• pp.118-123
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• 2002

Purpose: The purpose was to identify the effectiveness of beach-chair position in the arthroscopic Bankart repair over conventional lateral decubitus position with distal traction. Materials & Methods: 36 arthroscopic Bankart repair through July 2000 to July 2001 was done under beach chair position. All cases were shoulder instability. Male patients were 6 and female were 4 with average age of 25 years. Arthroscopic suture anchor was used in 24 cases and average number was 3. Results: Interscalene block was tried in 29 patients and 1 case was changed to general anesthesia. Arthroscopic examination to identify Bankart lesion and associated pathology was done without difficulty Bankart lesions were easily reduced to anatomic position and placed suture anchor and hooking approprately. After the arthroscopic examination,3 cases were converted to open procedure without any positional change. Conclusion: Under interscalene block, the preparation was more simple and the patient could watch arthroscopic procedure with confidence. There was no hindrance in arthroscopic examination and arthroscopic repair could be dont: in more anatomic position. It can be easily changed to open repair if it needed

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2002.03a
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• pp.13-14
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• 2002

• Clinics in Shoulder and Elbow
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• v.7 no.1
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• pp.51-55
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• 2004

Arthroscopic surgery of the shoulder is regarded as a convenient and safe approach, but there is a possibility of complication during procedure. We report an isolated unilateral hypoglossal neurapraxia following combined arthroscopic and open Bankart reconstruction performed in beach-chair position under general anesthesia with orotracheal intubation.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.164-164
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• 2008

The beach-chair traction position is designed to allow the use of traction while allowing the surgeon to orient the shoulder in an upright position and convert to an open procedure, if necessary. The patient is placed in the beach-chair position under general anesthesia. A three-point shoulder holder (Arthrex, Naples, Florida) is attached to the rail of the operating table on the same side as the surgeon, whereas it is placed on the side opposite the surgeon in the lateral decubitus position. A shoulder traction and rotation sleeve (Arthrex) are affixed to the arm following the manufacturer's instructions. Positioning the thumb toward the closed side of the sleeve ensures a field for the anterior portion of the rotator cuff and prevents the tendency of the suspension apparatus to place the arm in internal rotation. The arm is maintained in 30 to 40 degree abduction and 30 to 40 degree flexion by controlling the length and height of the bar and the location of the universal clamp. The universal clamp allows multiple planes of adjustment to control abduction and forward movement of the arm. The sleeve is attached to the longitudinal traction cable using a sterile hook, and a lateral strap is secured around the proximal portion of the sleeve to the overhead traction cable to ensure a field for glenohumeral reconstruction. The use of a lateral strap permits ideal shoulder positioning for improved access to the anterior and inferior glenohumeral joint. The lateral strap can be released or removed to widen the subacromial space during subacromial decompression or rotator cuff repair. A 10-lb weight is attached to the longitudinal traction cable for an average-sized person.

• Journal of the Korean Institute of Rural Architecture
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• v.16 no.3
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• pp.45-52
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• 2014

Recently, Korean people are more interested in leisure time as the Korean economy has enjoyed the economic growth on a continual basis. Along with it, the disabled people's demand for enjoying the beach is growing. To meet the disabled people's demand for enjoy the beaches, it is important to prepare the convenient facilities where the disabled people in the wheel chair can use comfortably, including the handicapped parking area, toilet for the disabled, shower stall room and am bathhouse. On the backdrop of this, the study has been made on the obstacles which keep the disabled people from using the convenient facilities installed on 12 beaches in the southern coat of Korea from the perspective of barrier free design. This study showed that half of the beaches in question did not have the handicapped parking places. The parking space was also so narrow that it was difficult for handicapped people to access the parking lot with their vehicles. There were also 3 beaches which did not have the toilet for the disabled. Even the beaches which have the toilet for the disabled, the size of entrance door and floor space was so narrow and there were a lot of physical obstacles such as no handles for the disabled people that it was really hard for the disabled people in wheelchair to use them.

• Clinics in Shoulder and Elbow
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• v.26 no.4
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• pp.455-461
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• 2023

Arthroscopic shoulder procedures are one of the most common procedures used to restore function through minimally invasive techniques. With the demand for shoulder arthroscopic procedures comes the need for safe, effective, and efficient surgery that maximizes patient outcomes while minimizing complications. Many variables contribute to visualization in shoulder arthroscopy including vascular anatomy, blood pressure control, arthroscopic pump systems, turbulence control, epinephrine, and tranexamic acid. Furthermore, patient positioning can have a dramatic effect on visualization with both the beach chair position and lateral decubitus positioning having various strengths and weaknesses depending on the intended procedure being performed. The purpose of this review is to examine the benefits and complications reported in the literature for improving visualization in shoulder arthroscopy.