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

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.