Procedure Arthroscopic rotator cuff repair is a technically challenging procedure that requires advanced arthroscopic surgical skills, careful preoperative planning, and a step-wise, systematic approach. Care is taken to inspect the biceps tendon within the shoulder, the fibrous ring or labrum which surrounds the glenoid, the capsule and ligaments, the cartilage surfaces of the head and glenoid, and the rotator cuff tendons. Any pathology is addressed only after a complete inspection, so as not to miss any significant findings. Visualizing torn rotator cuff from within the joint. The biceps tendon is running vertically on the left.
Socket is to the right.
Because the arthroscope magnifies the structures seen, irregularities in the surface of less that 1 mm may be seen and removed. The goal is to smooth and flatten the under-surface of the acromion to provide more room for the repair and to relieve pressure from the healing tendon. Motorized burr removing under-surface of acromion. Under-surface of acromion has been flattened and smoothed. The size and pattern of the tear is assessed.