Table 2.

Key Surgical Steps With Pearls and Pitfalls

Key Steps	Pearls	Pitfalls
Diagnostic arthroscopy	The surgeon should check the attachment of the LHBT to the glenoid labrum. The surgeon should make sure the LHBT is moved to the area where it will be fixed.	If a >20% partial tear of the LHBT is present, one cannot perform this technique.
Acromioplasty, coracoacromial ligament release, and bursectomy	Bursectomy should be performed sufficiently to view the entire cuff tear and glenoid.
Humeral and glenoid bone bed preparation and anchor insertion	A spinal needle should be used to localize the portals. The bone bed should be debrided sufficiently.	In the case of insufficient bone bed decortication, biological fixation may result.
Biceps shifting and fixation		Too much shifting can cause pain and erosion of the biceps tendon.
Anterior rotator cuff repair	The surgeon should not apply too much tension when performing partial repair. The surgeon should seal the LHBT and anterior rotator cuff together.	The surgeon should not perform repair of 1 bundle with another bundle.
Posterior rotator cuff repair	The surgeon should not apply too much tension when performing partial repair.	The surgeon should not perform repair of 1 bundle with another bundle.

LHBT, long head of biceps tendon.