Dual-Camera Technique for Arthroscopic Rotator Cuff Repair

Abstract

An all-arthroscopic rotator cuff repair demands a high level of technical skill and is associated with a steep learning curve. It is well accepted that small rotator cuff tears or partial tears can be more difficult than large or even massive tears to repair. Part of the reason is the difficulty in visualizing the tear, as well as important surrounding structures, during repair. To improve visibility during the repair process, we have introduced a second arthroscopic camera. Two cameras allow the surgeon to observe the rotator cuff from both the articular and bursal sides. We find this technique has merit in small or partial-thickness rotator cuff tears; however, there may be other applications.

Transtendon Repair Under Switching-Scope Technique for Articular Partial-Thickness Rotator Cuff Tears

“…Tuttle et al. 8 reported a dual-camera technique to eliminate the blind spots PASTA lesion and gained a suitable tension of torn cuff. Yet, our technique also has been shown to be time-costing and with a learning curve.…”

“…During the entirety of the transtendon repair procedure, the arthroscope will be switched repeatedly between the subacromial space and the glenohumeral joint through the switching stick to monitor suture anchor insertion and the suture-relaying procedure without blind spots, which is equal to the dual-camera technique. 8 We call this switching scope technique ( Video 1 ).…”