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Subscapularis repair. A, “Comma tissue” representing the medial sling of biceps sheath, coracohumeral ligament, and superior glenohumeral ligament. B, Traction suture placed at junction of comma tissue and superolateral corner of torn and retracted subscapularis tendon tear. Sutures are retrieved through anterolateral portal. C, Retracted subscapularis tear with significant adhesions requiring appropriate releases prior to fixation. D, Subscapularis mobilization to lesser tuberosity without undue tension after standard releases of articular surface, bursal surface, and rotator interval. E, Medial row anchors previously placed just off articular margin for transosseous equivalent repair of subscapularis repair. Articular surface view of self-retaining suture passer being used to pass sutures. F, Medial row anchors previously placed just off articular margin for transosseous equivalent repair of subscapularis repair. Articular surface view of self-retaining suture passer being used to pass sutures. Medial row anchors previously placed just off articular margin for transosseous equivalent repair of subscapularis repair. Articular surface view of self-retaining suture passer being used to pass sutures. G and H, Bursal surface view of transosseous equivalent subscapularis repair.

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