Simple arthroscopic technique for rotator interval closure.

Abstract

The rotator interval is a recognized source of pathology; there are several different techniques described for its closure but all require special instruments and skills. We present a technique that is simple in terms of skills and instrumentation. Two spinal needles are used. One needle is used as a suture retriever and the other as a suture passer. Each needle is passed through the margins of the rotator interval and, under arthroscopic vision, the needles are approximated to pass and retrieve the suture. Several sutures can be used as required. The knots are finally tied in an outside-inside fashion. This technique allows the surgeon to efficiently close the rotator interval under direct arthroscopic visualization in a few steps. The technique of arthroscopic rotator interval closure is simple, inexpensive, and easily reproducible.