In rotator cuff repair, your surgeon will begin by inspecting the shoulder joint. Then he or she will inspect the subacromial bursa, a small cushioning sac of fluid that surrounds the joint, followed by the rotator cuff itself.
Arthroscopic shaver blades are used to clear away scar tissue, to shape the under side of the acromion (the bone at the top of the shoulder), and to smooth the edges of the cuff tear. Once the joint has been prepared, small anchors are attached to the bone. Sutures are passed through the edge of the tissue, and the anchors are used to hold the suture in place.