Double Row Knotted 'Trident': 1 Suture Technique for Superior to Posterosuperior Small Cuff Tear

Many arthroscopy suture techniques have been described for small rotator cuff tears, but there is no consensus. The aim of this study is to describe a double-row knot technique, which we call a “trident point,” for the superior and posterosuperior small cuff tear that is easily reproducible and has a fast learning curve. This knot takes into account the excess of tendon tissue on the foot print after a cuff suture, called a “dog-ear deformity.” However clinical, ultrasound, and biomechanical evaluation with follow-up remains necessary to validate the sustainability of this arthroscopy technique.
Technique Video Video 1 The trident double row knotted technic for a small posterosuperior cuff tear repair in a left shoulder in beach chair position is shown, with narration.