Mini-open rotator cuff repair via an anterosuperior approach

We retrospectively reviewed the results of arthroscopically assisted rotator cuff repairs done with an anterosuperior approach in 41 patients (average age, 55 years; range, 38-73). Average follow-up was 39 months (range, 24-57 months). There were 2 massive, 8 large 2-tendon, 9 medium-sized, 19 small, and 6 deep partial thickness rotator cuff tears. After arthroscopic inspection and acromioplasty, the anterior portal was enlarged in Langer's lines. The anterior deltoid raphe was incised to repair the tear. This approach was adequate for tears of all sizes. The average American Shoulder and Elbow Surgeon Score improved from 44.7 preoperatively to 91.7 postoperatively. There were 32 excellent (78%), 6 good (15%), and 3 poor (7%) results. Pain improved on a visual analog scale from 6.2 to 0.9. Arthroscopically assisted mini-open rotator cuff repair through an anterosuperior approach is a versatile deltoid-sparing technique. It does not require advanced arthroscopic skills or equipment and is associated with few complications.