Shoulder arthroscopic portals: Ordinary versus unconventional

Due to the development of arthroscopy, it has been replacing most of the conventional open shoulder surgeries and has become the standard modality of treatment of shoulder disease. In shoulder arthroscopy, the proper position of the portal is essential for the visualization of the intraarticular surgical field and the approach of the surgical instruments to the lesion. It enables to enhance anatomical reconstruction of the injured tissue and finally achieve a successful surgery. A poorly placed portal may eventually lead to complexity of the surgery. Also, proximity of vascular and neurovascular structures with the portal entrance and potentially higher risk of injury during the portal insertion due to the alteration of anatomic relations by the procedure-induced swelling should be considered.