TechniquesArthroscopic Anterior Shoulder Stabilization in the Beach Chair Position Using Trans-Subscapularis Drilling of the 5 30 AnchorChambers, Lauchlan MD, MPH*; Kremen, Thomas MD*; Snell, Christopher J. BS, MPH†; Gamradt, Seth C. MD*Author Information *Department of Orthopaedic Surgery, UCLA/Orthopaedic Hospital †UCLA David Geffen School of Medicine, Los Angeles, CA Disclosure: The authors did not receive any outside funding or grants in support of their research or in preparation of this study. Neither they nor a member of their immediate families received payments or other benefits or a commitment or an agreement to provide such benefits from a commercial entity. This includes the authors not receiving any funding from the National Institutes of Health (NIH), Wellcome Trust, nor Howard Hughes Medical Institute (HHMI) for preparation of this study. Reprints: Lauchlan Chambers, MD, MPH, Department of Orthopaedic Surgery, UCLA/Orthopaedic Hospital, 76-143 CHS, 10833 Le Conte Ave, Los Angeles, CA 90095-6902 (e-mail: [email protected]). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website, www.shoulderelbowsurgery.com. Received April 9, 2011 Accepted May 31, 2011 Techniques in Shoulder & Elbow Surgery: September 2011 - Volume 12 - Issue 3 - p 56-61 doi: 10.1097/BTE.0b013e3182271e37 Buy SDC Metrics AbstractIn Brief Although open anterior stabilization and capsular shift has been traditionally thought of as the “gold standard” for anterior shoulder instability, arthroscopic anterior stabilization has become the procedure of choice for most surgeons. The lateral decubitus position is known to provide excellent access to all areas of the glenohumeral joint allowing instability repairs to be easily accomplished. Some investigators feel that the low glenoid is difficult to access in the beach chair position. With proper patient positioning and cannula placement, successful arthroscopic anterior stabilization can also be achieved in the beach chair position. In this surgical technique, we describe arthroscopic anterior shoulder stabilization and labral repair in the beach chair position using trans-subscapularis placement of the inferior-most anchor at the 5:30 position. Supplemental Digital Content is available in the article © 2011 Lippincott Williams & Wilkins, Inc.