Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

The patient is placed in a beach chair position under general anesthesia. Five portals are needed, posterior, lateral, anterolateral, anterointeferior, and lateral portals. Diagnostic arthroscopy is started from the posterior portal.

Identify the supraspinatus and subscapularis tears then classify the subscap tear according to the Lafosse classification. The radio frequency ablator and shaver is used to debride the subscapularis, the glenohumeral joint, and the supraspinatus footprint, to create a healthy bone bed for the repair. Shift the arthroscope to the lateral subacromial portal.