Fig. 3.

A-E (A) An irreparable tear involving the supraspinatus and infraspinatus. Both tendons had retracted to the glenoid edge and cannot be seen in this figure. The subscapularis remained attached to the lesser tuberosity but appeared to displace anteroinferiorly. The long head of the biceps brachii was intact, running along the superior part of the humeral head. (B) The subscapularis is anchored to the long head of the biceps brachii. (C) The infraspinatus is sutured to the subscapularis augmented by the long head in a side-to-side manner from the proximal site of the tear. (D) The free lateral edge of the cuff is attached to the facet of the great tuberosity. (E) The humeral head was covered completely with the side-to-side stiches (arrow heads) and transosseous sutures (black arrows); HH = humeral head; LHB = long head of the biceps brachii; SC = subscapularis; GT = greater tuberosity; LT = lesser tuberosity; ISP = infraspinatus.