https://www.vumedi.com/video/arthroscopic-double-row-subscapularis-repa…
Technique
- extra-articular
Portals
- posterior portal very lateral so can see anterior aspect subacromial space
- port of Wilminton at anterolateral acromion to access SSC
- anterior portal in normal position, slightly more lateral so becomes working portal
GHJ
- identify tendon
- work through portal Wilmington
- grasp, forms comma sign
- perform biceps tenodesis
- tag SSC with fibrewire
Subacromial space
- place standard lateral portal as well
- total bursectomy plus acromioplasty
- use tagging sutures to identify SSC
- release as necessary
- may need long posterior cannula to see anteriorly
- may need to move camera to lateral portal to see around corner anteriorly
- can use 70 degree scope
Prepare footprint
- debride
- insert anchors (retract port of Wilminton into subacromial space)
- pass sutures with suture passer
- tie
