Simplified Knotless Mattress Repair of Type II SLAP Lesions Marcus Robert Chia, M.B.B.S.(Hons), F.R.A.C.S.(Orth), B.App.Sc.(Physio), F.A.Orth.A., Cameron Hatrick, M.A., F.R.C.S.(Tr&Orth)  Arthroscopy Techniques  Volume 4, Issue 6, Pages e763-e767 (December 2015) DOI: 10.1016/j.eats.2015.07.024 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Bone socket creation from anterolateral interval portal. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 First pass of SutureLasso through labrum with 25° left SutureLasso. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Anterior limb of suture end retrieved through anterior portal. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 SutureLasso remaining in joint to create mattress configuration. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Second pass of SutureLasso through labrum 5 to 7 mm posterior to first. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Posterior limb of suture end retrieved through anterior portal. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 (A) Oblique mattress positioning (anterior limb passed beneath superior labrum and posterior limb passed through superior labrum). (B) Mattress suture with labrum secured over joint surface due to both limbs of suture being passed beneath superior labrum. (C) Oblique mattress suture securing labrum in anatomic position. (G, glenoid; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 8 Both suture ends shuttled into anterolateral portal. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 9 Knotless anchor insertion. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 10 Sutures cut leaving a low profile. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; HH, humeral head; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 11 Final repair probed to confirm fixation. Arthroscopic view of a right shoulder, with the patient in the lateral decubitus position, with a 30° arthroscope in the posterior viewing portal and with an anterolateral (clear cannula) working portal and standard anterior (blue cannula) portal. (A, anterior portal; AL, anterolateral portal; G, glenoid; LHB, long head of biceps; SL, superior labrum.) Arthroscopy Techniques 2015 4, e763-e767DOI: (10.1016/j.eats.2015.07.024) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions