Arthroscopic “Mini-Incision” Transtendon Repair Combined With Tri-Anchor Double-Pulley Suture-Bridge Repair of PASTA Lesion

Abstract

Currently, transtendon repair is a popular way to treat PASTA (partial articular supraspinatus tendon avulsion) lesions. However, tendon trauma on the bursal layer, which may cause tendon retear, is a defect of transtendon repair. Arthroscopic “mini-incision” transtendon repair combined with tri-anchor double-pulley suture-bridge (DPSB) repair is a pragmatic surgical technique. In the treatment of PASTA lesions, the mini-incision can minimize tendon trauma; crossing sutures of 4 sets of DPSBs can perfectly close the mini-incision; and 2 lateral-row anchors can reduce the stress of the DPSB and make the suture structure stronger.