Arthroscopic Retro All‐Suture Anchor Technique for Subscapularis Repair Using a Posterior Cruciate Ligament Femoral Guide

Arthroscopic subscapularis repair techniques are evolving and improving, with better preoperative and intraoperative diagnosis of tear patterns observed as well as improved capabilities of arthroscopic surgeons. Improved subscapularis repair helps to secure tough posterosuperior rotator cuff repair more easily, but subscapularis tear repair still often is neglected compared with posterosuperior rotator cuff as the result of different surgical challenges. We seek to share our surgical technique for subscapularis repair in which a posterior cruciate ligament femoral guide is used and a retrograde transosseous tunnel created, exiting the subscapularis footprint at lesser tuberosity and repair achieved using an all-suture anchor. Our surgical technique avoids a difficult trajectory and large-diameter bone punches during anchor insertion seen with other techniques, providing a reproducible and secure fixation.