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1. Αρθροσκόπηση ΏμουΑρθροσκόπηση Ώμου
Μάνος Αντωνογιαννάκης
Διευθυντής Κέντρου Αρθροσκόπησης & Χειρουργικής Ώμου
www.shoulder.gr
Ορθοπαιδική Κλινική ΓΝ Λιβαδειάς
Εβδομαδιαίο Εκπαιδευτικό Πρόγραμμα
2012-2013
7/11/2012

3. Shoulder Bones & Joints

4. Rotator Cuff Muscles
Front View Back View

5. Biceps

6. Labrum & Ligaments

8. Video Anatomy

9. Tips and Tricks
• Anesthesia
• Patient positioning
• Surgeons Position
• Portals
• Haemostasis
• Instrumentation

10. Have Good Friends around !

11. Light General Anesthesia with Laryngeal Mask

12. Plus Local Anesthesia
Scalene Block

13. Positioning the patient
Lateral decubitus - My preferred position
Lateral decubitus allows easy access
to the anterior and posterior part of the joint

14. Beach Chair position

15. Patient Positioning
Padding bony prominences
Beware of the neck

16. Keep the operating room cold to avoid fogging
but
Keep the
patient warm

17. Basic Arthroscopic Tools
Have them all ready from the beginning

18. Draping

19. Be careful with traction

20. Traction: NOT more than 4 Kgr

21. Instruments in side pocket

22. Is everything ready BEFORE starting ?

23. Arthroscopic tower opposite the surgeon

24. Commonly used tools
arranged by the scrub nurse

25. Skin Marking

26. Before Entering the Scope
Saline Backflow
Saline in

27. Making the scope portal

28. 30o
Scope Entrance

29. Anterior Superior Portal

30. Changing Outflow

31. Control bleeding

32. Keys to control bleeding

33. Making Anterior Inferior Portal

34. Three Basic Portals
Proper portal
placement is essential
to the success of the
operation

35. Surgeons’ Position

36. Working Team

37. Rotator Cuff Repair

38. Normal Rotator Cuff
Side View

44. Anchor Repair

45. Repair Animation

46. Arthroscopic View

47. Arthroscopic Repair

54. Biceps tenodesis or tenotomy

55. Later…

57. Calcifying Tendonitis

59. Radiographs

61. Calcification Repair

62. Later…

63. Frozen Shoulder

64. Normal Shoulder

65. Frozen Shoulder

67. Later…

68. 2 months post-op

69. Anterior Instability

70. Labrum & Ligaments

72. Bankart Lesion

75. Engaged Hill-Sachs Lesion

76. Examination Under Anesthesia

77. Normal Shoulder

78. Arthroscopic View

79. Inverted Pear Estimation

80. Inverted Pear & Hill Sachs

81. Checking Hill-Sachs

82. Bankart Repair

83. Large Hill-Sachs

84. Hill-Sachs Repair - Remplissage

87. Later…

88. But sometimes…

89. Μάνος Αντωνογιαννάκης
Διευθυντής Κέντρου Αρθροσκόπησης & Χειρουργικής Ώμου
www.shoulder.gr
Ορθοπαιδική Κλινική ΓΝ Λιβαδειάς
Εβδομαδιαίο Εκπαιδευτικό Πρόγραμμα
2012-2013
Ευχαριστώ!Ευχαριστώ!