Table 2.

Step-by-Step Analysis of Pearls and Pitfalls

	Pearls	Pitfalls
Preoperative evaluation	Use computed tomography (CT) to assess the quality of the reduction as well as the extent and patterns of associated fractures.	CT underestimates the extent of the associated soft-tissue injuries.
Stability assessment	Traction should be applied slowly and constantly checked in the image intensifier for gross instability. Disruption of the capsule and labrum leads to an easily distractible joint.	Fluoroscopy may underestimate fracture displacement. Excessive traction may increase capsular and ligament injury and can lead to neurovascular injury.
Arthroscopic procedure	Transparent surgical fields and low pump pressures diminish fluid extravasation risks. Peripheral compartment access first is established without traction while also precluding iatrogenic articular damage on entering the central compartment. Arthroscopic visualization of articular distraction allows better control of the amount of traction needed. Unconventional portal placement could be important according to the identified lesions.	Hematoma can impair visualization; mechanical shaver should be used instead of high pump pressures. Several solutions should be readily available for labrum tears, osteocondral lesions, capsular management.