Table 1.

Pearls and Pitfalls

Pearls

During positioning of the anchors, the arms should be in extension to achieve the proper angle for placement.

When placing the anchors, the surgeon should ensure they are seated and slide appropriately prior to tying.

If the appropriate angle cannot be achieved, the procedure should be converted into a transtendinous insertion.

Pitfalls

The surgeon should avoid overly oblique angles with posterior portal drilling.

To minimize the risk of suture laceration, care should be taken to clear out the subacromial bursa prior to suture passage.

In a patient with a prominent acromion, care should be taken to avoid overly oblique suture passage angles.