The Neviaser Portal for Superior Glenoid Anchor Insertion: An Anatomic Study

Haughton, Benjamin A.; Serrano‐Pedraza, Ignacio; Boada, Eduardo; Candal-Couto, Jaime

doi:10.1177/230949901502300308

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…10 However, it spares the creation of a Nevasier portal, thus minimizing the risk of suprascapular nerve lesion or of penetration of the supraspinatus tendon. 8 The arthroscopic procedure substantially diminishes the extensive soft-tissue trauma as compared with open surgery, thus reducing the risk of potential complications. 2,5 In addition, further intra-articular pathologies can be treated simultaneously, such as the SLAP lesion in the current case (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“… 10 However, it spares the creation of a Nevasier portal, thus minimizing the risk of suprascapular nerve lesion or of penetration of the supraspinatus tendon. 8 …”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, screw osteosynthesis through the Nevasier portal is associated with increased risk for a lesion of the suprascapular nerve. 8 The presented arthroscopic technique for dislocated transverse glenoid fractures (Fig 1 ) allows a simple and sufficient reduction with safe screw osteosynthesis from cranially using 5 standard portals without the need to create a Neviaser portal (Video 1).…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

“…Furthermore, screw osteosynthesis through the Nevasier portal is associated with increased risk for a lesion of the suprascapular nerve. 8 The presented arthroscopic technique for dislocated transverse glenoid fractures ( Fig 1 ) allows a simple and sufficient reduction with safe screw osteosynthesis from cranially using 5 standard portals without the need to create a Neviaser portal ( Video 1 ).

Fig 1 Preoperative computed tomography of the right shoulder (coronal view), showing the glenoid fracture Ideberg type III, characterized by a transverse fracture line through the glenoid cavity.…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

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Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures

Wafaisade

Kappel

Pfeiffer

et al. 2021

Arthroscopy Techniques

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Transverse glenoid fractures with a cranial coracoglenoidal fragment (Ideberg type III) can lead to detrimental post-traumatic sequelae. Open surgery requires an extensive surgical approach. Arthroscopic procedures are highly challenging with respect to both fracture reduction and screw osteosynthesis. We present a reproducible arthroscopic technique for a dislocated transverse glenoid fracture using 5 standard portals. Grasping the coracoid with a small, serrated reduction clamp through the anterior portal allows simple and sufficient reduction. Safe screw osteosynthesis can then be performed from cranially without the need to create a Neviaser portal.

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Section: Discussionmentioning

confidence: 99%

“… 10 However, it spares the creation of a Nevasier portal, thus minimizing the risk of suprascapular nerve lesion or of penetration of the supraspinatus tendon. 8 …”

Section: Discussionmentioning

confidence: 99%

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

“…Furthermore, screw osteosynthesis through the Nevasier portal is associated with increased risk for a lesion of the suprascapular nerve. 8 The presented arthroscopic technique for dislocated transverse glenoid fractures ( Fig 1 ) allows a simple and sufficient reduction with safe screw osteosynthesis from cranially using 5 standard portals without the need to create a Neviaser portal ( Video 1 ).

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Screw Fixation Technique for Transverse Glenoid Fractures

Wafaisade

Kappel

Pfeiffer

et al. 2021

Arthroscopy Techniques

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“… 10 Haughton et al in their anatomic study for the placement of superior anchors using Neviaser portal explained that out of 60 patients (scapulae) included in the study, they were able to achieve the ideal angle of insertion (0-30 degrees) in only 1 scapula as explained by Neviaser, hence proving this portal unfeasible for application of the superior glenoid anchor. 8 Coen et al in their anatomical study of the transacromial portal explained that there is loss of acromion integrity in 25%-85% of patients by using transacromial portal making the shoulder activity limited after using the portal. 3 Warner et al first described about the usage of TCP for repair of SLAP lesions.…”

Section: Discussionmentioning

confidence: 99%

Trans-cuff portals heal by 6 weeks: an ultrasonography-based study

Nair¹,

Jangale²,

Kumar³

et al. 2021

JSES International

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Background Various arthroscopic portals have been described for repair of superior labrum anterior-posterior (SLAP) lesions. The difficulty in doing repair through the rotator interval and the problems in direction and placement of anchors still persist. Functional outcomes of the patients after treating them using trans-cuff portal are well established in literature, but the actual healing of the portal is not clear. We made a sincere effort to identify healing of the trans-cuff portal with ultrasound guidance and functional outcome using American Shoulder and Elbow Surgeons Shoulder Score (ASES score), Constant Shoulder Score, and Oxford Shoulder Score. Material and methods Twenty-two patients with SLAP or labral tears and normal contralateral shoulders were included. Surgery was performed using the trans-cuff portal as a viewing or working portal for biceps repair and labral repair. Rehabilitation was initiated from day 1 and followed up on 6 weeks, 3 months and, 6 months with a maximum follow-up duration of 2 years. Ultrasound was used to measure the depth of healing and graded at 6 weeks of follow-up postoperatively. Functional outcomes were measured using ASES score, Constant Shoulder Score, and Oxford Shoulder Score measured at 6 months. Results Seventeen patients were of grade 1 (complete healing); 1 patient was of grade 2 (more than 50% healing); 1 of grade 3 (less than 50% healing), and 3 were lost to follow-up. Fourteen patients out of 19 had excellent ASES scores, 4 patients had good scores, and 1 patient was considered as poor with an average ASES score of 84.51 (range 93-48) and standard deviation of 10.37. The ASES score indicated that healing of the rotator cuff portal is directly related to the functional outcome of the shoulder. The Constant Shoulder Score and Oxford Shoulder Score on the contrary were statistically not significant indicating no relation of the Oxford and Constant scores with healing of the rotator cuff portals. Conclusion Trans-cuff portal is safe, gives proper angle for insertion of anchors, and can be used for repair of SLAP lesions with ease. Ultrasonography helps in confirming the healing of portal.

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