Rotator cuff repair. A and B, Mobilization. Supraspinatus and subscapularis muscles have fascial attachments to coracoid base via coracohumeral ligament. Lateral mobilization of retracted cuff is facilitated by release of these attachments. C and D, Substantial lateral advancement of cuff can be achieved by freeing capsule from glenoid by sharply incising capsule at its insertion into glenoid labrum. E, Osteotome is used to create trough. F, Holes for sutures are drilled 2 to 3 cm distal to trough. G, Suture anchors are inserted proximal to trough margin, passing proximal to proximal-most aspect of trough sutures. SEE TECHNIQUE 46.2.