How to Maximize Suture Tension in Double‐Row Suture‐Bridge Rotator Cuff Repair?

Fig 1. Coronal T2-weighted fat suppression image of the right shoulder demonstrates a complete supraspinatus tear (arrow).

Fig 2. An arthroscopic view of the right shoulder in the subacromial space from the posterior portal shows loosening of the suture bridges of the anterior lateral row (arrows) above the supraspinatus (asterisk). This happened right after tensioning of the posterior lateral row.

Fig 3. A demonstration view from the posterior, outside of the right shoulder joint, shows loosened suture of the remaining limb of the anterior lateral row (arrows).

Fig 4. A demonstration view from the posterior, outside of the right shoulder joint, shows retensioning of the suture limbs of the anterior lateral row (arrows).

Fig 5. An arthroscopic view of the right shoulder in the subacromial space from the posterior portal shows tightened suture bridges (arrows), compressing the repaired supraspinatus tendon (asterisk).

Fig 6. A demonstration view from the posterior, outside of the right shoulder joint, shows deployment of the anterior lateral row after retightening all of the suture limbs.

Fig 7. An arthroscopic view of the right shoulder from the lateral portal shows transosseous-equivalent double-row repair configuration is checked through the lateral portal. Note the tensioned suture bridges without loosening (arrows).