Illustrated Tips & Tricks CH16

Chapter 16 Arthroscopic Subscapularis Repair  121

Figure 16-12 || Left shoulder upper subscapularis tear repaired using biceps tenodesis construct sutures. A. 70-degree view down the bicipital groove shows medial side wall high-grade tearing ( blue arrows ) and (B) abrasive wear ( black arrow ) of the medial biceps tendon (BT). Additionally, this patient had a type 2 SLAP tear with a displaceable biceps root (C) . An arthroscopic biceps tenodesis (D) was performed, with the tenodesis socket placed slightly medially at the top of the groove ( white arrow shows guide pin for a cannulated reamer). After the tenodesis screw has been placed, no. 2 FiberWire sutures (typically 2 pairs of sutures) are then available to be passed (E) and tied for subscapularis (SSc) repair (F) . G, glenoid; H, humeral head.