1. Arthroscopic Transosseous-Equivalent Rotator Cuff Repair
Kyle P. Lavery, M.D., Jeffrey F. Rasmussen, M.D., Aman Dhawan, M.D. 
Arthroscopy Techniques 
Volume 2, Issue 2, Pages e183-e185 (May 2013)
DOI: /j.eats
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
We recommend spending time understanding the tear pattern and performing adequate releases and mobilization of the rotator cuff to create a tension-free repair. In the case shown, we performed paraglenoid releases between the superior labrum and undersurface of the rotator cuff tear with a radiofrequency device. Grasping the leading edge and applying longitudinal tension as the release was being performed facilitated tissue mobilization.
Arthroscopy Techniques 2013 2, e183-e185DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Localization of the percutaneous anchor placement portal is shown. Placement of anchors in this fashion allows an improved angle of insertion. This portal can be placed anteriorly or posteriorly, depending on the tear configuration and location. The humerus can be rotated internally or externally to facilitate access to various locations of the greater tuberosity. Suture management can also be facilitated by use of this percutaneous skin incision.
Arthroscopy Techniques 2013 2, e183-e185DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
We recommend tying of the medial-row sutures to prevent synovial fluid contact with the repair site and to enhance repair construct biomechanics.
Arthroscopy Techniques 2013 2, e183-e185DOI: ( /j.eats )
Copyright © 2013 Arthroscopy Association of North America Terms and Conditions