Marker pen.

Moreover, Min Hong and others did not consider this detail in advance, so they were not prepared.

But this does not affect Lu Cheng's operational fluency.

After filling the joint cavity with about 60ml, a sharp knife breaks the skin, and straight forceps bluntly separate the subcutaneous tissue and penetrate it to the glenohumeral space, which is the gap between the humerus and the shoulder glenoid.

During shoulder arthroscopy, there are two spaces, one is the glenohumeral space, and the other is the subacromial space. In fact, the focus of treatment for acromial impingement syndrome is the subacromial space.

However, as a routine surgical procedure, the glenohumeral space must be started first.

After the posterior approach of shoulder arthroscopy is completed, the core of the arthroscopic sleeve is inserted into the glenohumeral space and inserted behind the lens under the protection of the arthroscopic sleeve.

The first thing is to find the location of the biceps tendon. At this position, first observe the upper part of the shoulder joint or the articular cartilage part of the biceps tendon and the shoulder glenoid.

After Lu Cheng entered the glenohumeral space with the lens, he first adjusted the angle, and then slowly advanced it. He was very familiar with the operation he was going to do next, observing the humeral head and the cartilage part of the shoulder glenoid.

Then rotate the shoulder internally and externally and observe fully. Then push forward and observe whether there are partial tears on the upper and lower surfaces of the biceps tendon, the attachment point of the biceps tendon and the superior labrum.

But the camera just pushed in, and what was visible at that time was the long head tendon of the biceps brachii sleeping there.

The reason why it is called sleeping is because the insertion point of the long head tendon of the biceps brachii and the lower part of the tendon are completely disconnected, as if they are separated and each is doing his own thing.

Seeing this scene, Lu Cheng stopped the operation and was stunned for a while.

In addition to Lu Cheng, Lin Hui was also stunned on the spot.

Also includes Min Hong et al.

This is acromial impingement syndrome that has worn away the long head tendon of the biceps!

However, the tendon did not separate too much, and due to interference from other soft tissues, the fractured end could not be seen on MRI!

This is not a simple surgery for acromial impingement syndrome. This is a major surgery. It is simply not something that Lu Cheng can complete. As the most difficult teaching surgery in the department, it is a bit difficult. How can it be an arthroscopic surgery for Lu Cheng?

Authorized assessment surgery?

Min Hong's expression changed at that time. He stood up, glanced at Chang Weilong and Zhu Lihong, and coughed dryly.

Immediately, Chang Weilong and Zhu Lihong understood, immediately stood up, and silently washed their hands outside the surgery.

Huang You also immediately explained with understanding: "Chief Xiang, the preoperative estimate of this patient's condition was wrong, and the gap with the damage expected before the operation was too large. The difficulty of this patient's operation has increased at least dozens of times, so
Chapter completed!