Trans-Rotator Cuff Portal is Safe for Arthroscopic Superior Labral Anterior and Posterior Lesion Repair

Abstract

The data demonstrate favorable outcomes for arthroscopic superior labral anterior and posterior lesion repair using the trans-rotator cuff portal. We suggest that the trans-rotator cuff portal is an efficient and safe portal for superior labral anterior and posterior lesion repair, although there are some valid concerns of damaging the cuff in patients with a superior labral anterior and posterior lesion with concurrent cuff disorders, as well as in older patients.

Results of concomitant rotator cuff and SLAP repair are not affected by unhealed SLAP lesion

“…However, the result regarding labral healing was different from that of a previous report of isolated SLAP repair, which showed successful healing of the labrum in all 58 patients. 26 Lower healing potential and possible changes in the shoulder biomechanics of our study group could explain this higher recurrence of SLAP lesions compared with isolated lesions in the younger patient group.…”

“…However, dye filling under the anterosuperior quadrant of the labrum, especially below the 1-o'clock position, was not considered a failure. 26 An intact cuff was defined as maintenance of the insertion into the footprint, whereas retear was taken as a discontinuity at the footprint. It is believed that maintenance of the cuff insertion into the footprint with media leakage should be distinguished from retear of the cuff.…”

“…The accepted treatment for type II SLAP lesions is to reattach the unstable biceps anchor to the original insertion site arthroscopically. 21,23,26,29 However, most of these studies were performed in younger populations. 9, 19 Kim et al 14 reported that isolated SLAP lesions with no associated pathologic findings are uncommon and that pathologies associated with type II SLAP lesions differ according to age.…”

Age-related Outcome of Arthroscopic Repair of Isolated Type II Superior Labral Anterior to Posterior Lesions

“…13) After subchondral bone of the supraglenoid tubercle was exposed using a high-speed burr, 2 posterior holes were drilled at the 10-or 11-o'clock position and the base of the biceps anchor around the 12-or 1-o'clock position. A suture hook loaded with No.…”

External rotation and active supination CT arthrography for the postoperative evaluation of type II superior labral anterior to posterior lesions

“…However, few studies mention the anatomical outcome after the repair [10][11][12]. For the preoperative diagnosis of SLAP lesions, there are some suggested radiologic diagnostic criteria in the MR [16,18].…”