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Reduction and preliminary fixation

Begin by inserting sutures into the insertion fibers of subscapularis tendon (1) and the supraspinatus tendon (2)

Place rotator cuff sutures

Subscapularis and supraspinatus tendon
Begin by inserting sutures into the subscapularis tendon (1) and the supraspinatus tendon (2). Place these sutures just superficial to the tendon’s bony insertions. These provide anchors for reduction, and temporary fixation of the greater and lesser tuberosities.