Arthroscopic fixation of isolated type II SLAP lesions using a two-portal technique

Published online: Apr 27 2011

Aristotelis Kaisidis, Panagiotis Pantos, Horst Heger, Dimitrios Bochlos

From Asklepios Clinic, Academic Hospital of Goethe University Frankfurt, Seligenstadt, Germany


The purpose of this study was to assess the outcomes of twenty isolated type II SLAP lesions which were repaired arthroscopically using a two-portal technique. Shoulder function was evaluated at a mean follow-up of 2 years using the modified Constant-Murley score. The average preoperative score was 65.2% ; it improved postoperatively to 86.4% (p < 0.0001). Pain improved from 6 points to 13 points (p < 0.01) and strength increased from 10 kg to 17 kg (p < 0.01). Seventeen of the 20 patients participated in athletic activity before the arthroscopic SLAP repair ; they were subdivided into two groups with regard to their age (< 40 years, and > 40 years). There were statistically significant differences between the groups, with 70% returning to the same level of competitiveness in the younger group versus 29% in the older age group. (p < 0.0001). Arthroscopic repair of an isolated type II SLAP lesion using a two-portal technique, without using a trans rotator cuff portal, appeared as a reliable and effective procedure with respect to shoulder function and anatomy.