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. 2016 Sep 12;5(5):e1033–e1038. doi: 10.1016/j.eats.2016.05.007

Table 2.

Advantages and Disadvantages

Advantages Disadvantages
Improved glenohumeral joint lateral and axial distraction allowing better visualization and instrumented release of inferior capsule. Unfamiliar setup and orientation for surgeon accustomed to beach-chair shoulder arthroscopy.
Reduces or eliminates need for manipulation under anesthesia due to complete 360° capsular release, which could reduce risk of iatrogenic damage from manipulation. May be more difficult to perform any concomitant subacromial or open procedures.
Capsular tissues are under tension, facilitating selective release and visualization of completed release due to capsular retraction after release. Potential for damage to axillary nerve while releasing the 6 o'clock position.
Potential for less postoperative bleeding and pain due to controlled release without manipulation.