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Trans-cuff portals heal by 6 weeks: an ultrasonography-based study
Ayyappan V Nair1, Ajit Jangale1, M Praveen Kumar1
1Bangalore Shoulder Institute, Bangalore, Karnataka, India.
JSES International
|November 12, 2021
Summary
This study found that the trans-cuff portal technique for superior labrum anterior-posterior (SLAP) lesions shows good healing and functional outcomes, confirmed by ultrasound. Rotator cuff portal healing correlates with better shoulder function, as measured by the ASES score.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Shoulder Reconstruction
Background:
- Arthroscopic repair of SLAP lesions presents challenges with rotator interval access and anchor placement.
- The functional outcomes of trans-cuff portal use for SLAP repair are documented, but portal healing remains unclear.
- This study investigates trans-cuff portal healing and functional outcomes using ultrasound and validated shoulder scores.
Purpose of the Study:
- To assess the healing of the trans-cuff portal after arthroscopic SLAP lesion repair using ultrasound guidance.
- To evaluate the functional outcomes of patients undergoing SLAP repair via the trans-cuff portal.
- To determine the correlation between trans-cuff portal healing and functional shoulder scores.
Main Methods:
- Twenty-two patients with SLAP or labral tears underwent arthroscopic repair using the trans-cuff portal.
- Rehabilitation commenced on postoperative day 1, with follow-ups at 6 weeks, 3 months, and 6 months (up to 2 years).
- Ultrasound assessed portal healing at 6 weeks, and functional outcomes were measured using ASES, Constant, and Oxford scores at 6 months.
Main Results:
- Seventeen patients achieved Grade 1 (complete) healing; one had Grade 2 (>50%) and one had Grade 3 (<50%) healing. Three patients were lost to follow-up.
- The average ASES score was 84.51, with 14 patients reporting excellent scores, indicating a direct relationship between rotator cuff portal healing and functional outcome.
- Constant Shoulder Score and Oxford Shoulder Score showed no statistically significant correlation with rotator cuff portal healing.
Conclusions:
- The trans-cuff portal is a safe and effective approach for SLAP lesion repair, facilitating optimal anchor insertion angles.
- Ultrasound is a valuable tool for confirming the healing status of the trans-cuff portal post-surgery.
- Rotator cuff portal healing is linked to improved functional outcomes, particularly as assessed by the ASES score.
Keywords:
Labral repairNevasier portalSLAP repairShoulder ultrasoundTrans-cuff portalWilmington portal
