Perspective Chapter: Exploring a Modified Portal in Shoulder Arthroscopy – A Surgical Technique for Rotator Cuff Injury and Acromioplasty

Abstract

In conventional arthroscopic repair of rotator cuff tears, a standard approach involves the use of three portals. However, the anterior portal poses potential risks, including cephalic vein injury leading to hematoma formation and the need for conversion to an open surgical technique, which can be particularly challenging when the patient is positioned laterally. The primary objective of this article is to elucidate an innovative technique employing a modified anterolateral portal, thereby eliminating the need for the conventional anterior portal. This modification significantly mitigates the risk of cephalic vein injury and preserves the integrity of the anterior deltoid muscle, offering a safer and more effective approach to rotator cuff repair.