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Updated: Jan 11, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Biceps Augmentation of Anterosuperior Rotator Cuff Tears
Colton D Norton1, Larry D Field1
1Mississippi Sports Medicine and Orthopaedic Center, Jackson. Mississippi, U.S.A.
Anterosuperior rotator cuff tears, involving the supraspinatus and subscapularis tendons, require a unified repair approach. A novel technique using transposed biceps tendon aids in repairing chronic, retracted tears.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Reconstruction
Background:
- Anterosuperior rotator cuff tears involve the supraspinatus and subscapularis tendons.
- Accurate identification and repair can be challenging, especially in chronic or retracted tears.
Purpose of the Study:
- To present a technique for identifying and repairing retracted anterosuperior rotator cuff tears.
- To describe the augmentation of rotator cuff repair using the transposed biceps tendon.
Main Methods:
- Surgical technique for anterosuperior rotator cuff tear repair.
- Utilizing the comma tissue as a guide for tear recognition and reduction.
- Augmentation with a transposed biceps tendon for retracted tears.
Main Results:
- The described technique facilitates the identification and repair of complex tears.
- Transposed biceps tendon augmentation enhances the repair of retracted anterosuperior rotator cuff tears.
Conclusions:
- Retracted anterosuperior rotator cuff tears can be effectively managed with a unified repair strategy.
- The transposed biceps tendon technique offers a viable solution for challenging rotator cuff reconstructions.
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