Arthroscopic Subscapularis Retensioning Repair Using a Knotless-Type Anchor Shared With Supraspinatus Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopic Techniques

Background:

• Current arthroscopic subscapularis repair methods using knotless anchors have limitations.
• These include potential damage to the native footprint and interference with supraspinatus anchors.

Purpose of the Study:

• To describe a novel arthroscopic technique for subscapularis tears with concurrent full-thickness supraspinatus tears.
• To utilize a single knotless anchor for simultaneous repair.

Main Methods:

• Arthroscopic repair of subscapularis tears.
• Concomitant repair of full-thickness supraspinatus tears.
• Utilizing a single knotless anchor for both repairs.

Main Results:

• Preservation of the original subscapularis tendon footprint.
• Simultaneous repair of subscapularis and anterior supraspinatus portions with one anchor.
• Potential for an anatomic, simple, fast, and cost-effective solution.

Conclusions:

• This single-anchor technique offers an effective solution for combined subscapularis and supraspinatus tears.
• It addresses limitations of previous methods by preserving the footprint and simplifying the procedure.