Arthroscopic Double-Pulley Suture-Bridge Repair of Partial Articular Supraspinatus Tendon Avulsions >1.5 cm Using One Medial-Row Anchor.

Currently, transtendon repair with 2 medial-row anchors is a popular treatment for PASTA (partial articular supraspinatus tendon avulsion) lesions with tear sizes greater than 1.5 cm; however, the shortcoming is too much tissue trauma on the bursal layer. In this Technical Note, we present the double-pulley suture bridge mini-incision transtendon (trianchor "mini-incision" transtendon) technique. In treatment of PASTA lesion with tear size greater than 1.5 cm, one medial-row anchor and one "mini-incision" on the tendon can minimize tendon trauma, 6 sets of sutures can offer minimal gap formation and enough ultimate failure strength, and 4 sets of double-pulley suture bridges with crossing suture configuration can perfectly cover the "mini-incision," with surgical difficulty and implant costs being reduced.