When performing double row technique for arthroscopic Rotator cuff repair

When performing double row technique for arthroscopic Rotator cuff repair the medial row anchors are placed at the osteoarticular junction at a 45° “dead man’s angle.” The medial row anchors are typically placed percutaneously after localizing with a spinal needle.For a small or medium-sized tear, commonly two medial and two lateral anchors are required. Care must be taken to place each medial anchor at least 7 mm apart from the other in order to avoid contiguous tapping and/or loss of anchor fixation.The proper location for the lateral row anchors is typically found 5–10 mm distal to the lateral edge of the footprint of the greater tuberosity. Careful debridement of the lateral row anchor site is necessary to visualize the anchor insertion site