Single Portal Subscapular Repair by a Cross Shuttle Loop Technique Bancha Chernchujit, M.D., Nalla Sandeep, M.S. Ortho  Arthroscopy Techniques  Volume 6, Issue 3, Pages e537-e541 (June 2017) DOI: 10.1016/j.eats.2016.11.012 Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 1 Left shoulder in the frontal view with the subscapularis tendon insertion at the lesser tuberosity of the humerus. The long head of the biceps runs in the interval between the supraspinatus tendon inserted at the greater tuberosity and subscapularis showing the technique: (A) torn partial articular side tear of the subscapular tendon and (B) the cross shuttle loop placed at the upper border of the subscapular tendon. A cross loop is formed by the vertical loop (red) and horizontal loop (green). Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic view from the posterior portal in a left shoulder with a 30° arthroscope, patient in the beach-chair position showing the rotator interval superiorly, in middle, partial tear of the subscapular tendon at insertion, and inferiorly, the humeral head is seen. Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 3 Arthroscopic view from the posterior portal in a left shoulder with a 30° arthroscope, patient in the beach-chair position showing, superiorly, a 7-mm blue cannula in the rotator interval, through which a shaver is passed to the debride torn part of the subscapularis and the humeral head is seen inferiorly. Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view from the posterior portal in a left shoulder with a 30° arthroscope, patient in the beach-chair position showing passing of a Y-Knot through a 7-mm cannula on the left side and anchoring at the superior aspect of insertion of the subscapular tendon over the humerus and subscapularis tendon on the right side. Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic view from the posterior portal in a left shoulder with a 30° arthroscope, patient in the beach-chair position showing the articular side of the subscapular tendon and shuttling of the suture (green) through the subscapularis tendon with the help of a polydioxanone suture (violet). Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions

Fig 6 Arthroscopic view from the posterior portal in a left shoulder with a 30° arthroscope, patient in the beach-chair position showing the long head of the biceps superolaterally, the humeral head inferiorly, and the repaired subscapular tendon medially with cross shuttle loop stiches. Arthroscopy Techniques 2017 6, e537-e541DOI: (10.1016/j.eats.2016.11.012) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions