Fig. 3A-G These images illustrate the surgical steps of the typical anchored (transosseous equivalent) approach to repair of a torn rotator cuff. (A) A bone punch was used at the desired anchor site in the greater tuberosity (arrow), and (B) an anchor was inserted into the pilot hole. (C) This image is a coronal cross-section of the anchor in the tuberosity. (D) These images show a coronal cross-section of cuff reduction in the greater tuberosity (arrow), and (E) a bone punch used to insert a lateral anchor in the greater tuberosity (straight arrow shows direction of punch, and curved arrow shows direction of suture passage). (F) This image is a coronal cross-section of the anchored transosseous equivalent cuff repair after a lateral row anchor was placed (arrow). (G) This image is a superior view of anchored transosseous equivalent cuff repair. Illustration: Tim Phelps, MS, FAMI, © (2016) JHU AAM Department of Art as Applied to Medicine, The Johns Hopkins University School of Medicine.