Table 1.

Pearls, Pitfalls, and Complications of Rotator Cuff Repair Using the Transosseous-Equivalent Technique

Pearls	Pitfalls	Complications
Inspection through the lateral portal may allow for recognition of cuff tear pattern	Failure to recognize tear pattern may lead to nonanatomic repair	Injury to suprascapular or axillary nerves
When preparing the footprint, gently abrade the bone to preserve osseous integrity and minimize possibility of suture anchor pull-out	With anterior portal, remain lateral and superior to the coracoid to avoid neurovascular injury	Stiffness
The tip of the awl can be used to make several microfractures across the footprint to stimulate a healing response	Remember to test each anchor after placement	Recurrent tendon tear
Placing the suture passing device as far medially as possible minimizes suture cut-through	To avoid the potential for dog-ear formation, a suture cinch stitch that is prelooped at one end is passed	Infection
Before fully seating the anchor, the sutures are tensioned as the bridge over the bursal surface of the rotator cuff