Table 5.

Pearls and Pitfalls

Pearls	Pitfalls
(1) Adequate bursectomy must be performed	(1) In the absence of inadequate bursectomy, visualization becomes difficult and the augment will not lay open flat
(2) Neviaser port must be used	(2) Without the Neviaser port, one would not be able to “pull over” the augment as described in this technique
(3) Free suture must be passed through the rotator cuff as described above	(3) Without the free suture and the PDS shuttle suture, the “pulling” of the augment over with this technique and medial stabilization of the augment as described above is not possible
(4) Using the PDS to shuttle free suture limbs is essential for this technique
(5) Bringing out the free suture limb through the Neviaser port (using the PDS as the shuttle suture) and pulling it (once they are passed through the matrix) pulls over the matrix to the desired position in the subacromial space

PDS, polydioxanone.