Arthroscopic Decompression of Spinoglenoid Notch Cyst and SLAP Repair Through a Single Working Portal

Arthroscopic Decompression of Spinoglenoid Notch Cyst and SLAP Repair Through a Single Working Portal

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A SLAP lesion can be found with a concomitant spinoglenoid notch cyst.The cyst can cause suprascapular nerve compression, resulting in shoulder pain and weakness of external rotation.Their management varies from conservative smart tv panasonic 32 tc-32fs500b treatment to operative treatment.

Cyst decompression through the labral tear is our preferred treatment.Previous studies demonstrated a good result after arthroscopic decompression of the cyst through the labral tear combined with SLAP repair.Many surgeons usually use 3 portals to perform this procedure.

However, we prefer to use only 2 portals, 1 anterior viewing portal and 1 posterior working portal.This strategy is more time and cost state park 59fifty fitted efficient.The patient is positioned in lateral decubitus.

The SLAP lesion is demonstrated by using a probe.Tissue elevator is inserted into the labral lesion to penetrate into the cyst wall.A soft anchor is placed.

A birdbeak suture passer penetrates the posterior labrum.Then knot tying is done.The advantages of this single working portal technique are short operative time, a decreased risk of iatrogenic rotator cuff injury from accessory anterolateral portal or posterior labral injury from posterolateral portal, and avoiding unnecessary superior capsule incision for cyst exposure.