Transosseous Tunnel: Which Arthroscopic Device?

  • Claudio Chillemi
  • Alessandro Castagna
  • Marcello Osimani


From the dictionary definition, transosseous means through the bone that is to say, creating a tunnel into the bone. Historically, rotator cuff tendon repairs were performed in an open fashion and employed a single row of fixation achieved by the creation of transosseous bone tunnels (Buess et al. 2005; Galatz et al. 2004; Harryman et al. 1991) taking the sutures through bone tunnels and tying over the bone in the old manner, as performed by masters of the open cuff repair such as McLaughlin (1944) and Neer (1972).


  1. Aramberri-Gutierrez M, Martınez-Menduina A, Valencia-Mora M, Boyle S. All-suture transosseous repair for rotator cuff tear fixation using medial calcar fixation. Arthrosc Tech. 2015;4(2):169–73.CrossRefGoogle Scholar
  2. Baudi P, Rasia Dani E, Campochiaro G, Rebuzzi M, Serafini F, Catani F. The rotator cuff tear repair with a new arthroscopic transosseous system: the Sharc-FT®. Musculoskelet Surg. 2013;97(Suppl 1):57–61.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Black EM, Lin A, Srikumaran U, Jain N, Freehill MT. Arthroscopic transosseous rotator cuff repair: technical note, outcomes, and complications. Orthopedics. 2015;38(5):e352–8.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Buess E, Steuber KU, Waibl B. Open versus arthroscopic rotator cuff repair: a comparative view of 96 cases. Arthroscopy. 2005;21(5):597–604.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Bunker TD, Keenan J, Lee C. Arthroscopic transosseous rotator cuff repair: a cautionary tale. Should Elb. 2011;3:202–4.CrossRefGoogle Scholar
  6. Chillemi C, Mantovani M. Arthroscopic trans-osseous rotator cuff repair. Muscles Ligaments Tendons J. 2017;7(1):19–25.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Chillemi C, Mantovani M, Osimani M, Castagna A. Arthroscopic transosseous rotator cuff repair: the eight-shape technique. Eur J Orthop Surg Traumatol. 2017;27(3):399–404.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Cicak N, Klobucar H, Bicanic G, Trsek D. Arthroscopic transosseous suture anchor technique for rotator cuff repairs. Arthroscopy. 2006;22(5):565.e1–6.CrossRefGoogle Scholar
  9. Cole BJ, ElAttrache NS, Anbari A. Arthroscopic rotator cuff repairs: an anatomic and biomechanical rationale for different suture-anchor repair configurations. Arthroscopy. 2007;23(6):662–9.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Flanagin BA, Garofalo R, Lo EY, Feher L, Castagna A, Qin H, Krishnan SG. Midterm clinical outcomes following arthroscopic transosseous rotator cuff repair. Int J Shoulder Surg. 2016;10(1):3–9.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Fleega BA. Arthroscopic transhumeral rotator cuff repair: Giant needle technique. Arthroscopy. 2002;18(2):218–23.CrossRefPubMedGoogle Scholar
  12. Fleega BA, Sokkar SH. The giant knot: a new one-way self-locking secured arthroscopic slip knot. Arthroscopy. 1999;15:451–2.CrossRefPubMedGoogle Scholar
  13. Fox MP, Auffarth A, Tauber M, Hartmann A, Resch H. A novel transosseous button technique for rotator cuff repair. Arthroscopy. 2008;24(9):1074–7.CrossRefPubMedGoogle Scholar
  14. Frick H, Haag M, Volz M, Stehle J. Arthroscopic bone needle: a new, safe, and cost-effective technique for rotator cuff repair. Tech Should Surg. 2010;11:107–12.CrossRefGoogle Scholar
  15. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86(2):219–24.CrossRefPubMedGoogle Scholar
  16. Garofalo R, Castagna A, Borroni M, Krishnan SG. Arthroscopic transosseous (anchorless) rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 2012;20(6):1031–5.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Harryman DT 2nd, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA 3rd. Repairs of the rotator cuff: correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991;73(7):982–9.CrossRefPubMedGoogle Scholar
  18. Kuroda S, Ishige N, Mikasa M. Advantages of arthroscopic transosseous suture repair of the rotator cuff without the use of anchors. Clin Orthop Relat Res. 2013;471(11):3514–22.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Matis N, Hübner C, Aschauer E, Resch H. Arthroscopic transosseous reinsertion of the rotator cuff. Oper Orthop Traumatol. 2006;18(1):1–18.CrossRefPubMedGoogle Scholar
  20. McLaughlin H. Lesions of the musculotendinous cuff of the shoulder. J Bone Joint Surg. 1944;26:31–51.Google Scholar
  21. Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;5:441–50.Google Scholar
  22. Park MC, Elattrache NS, Ahmad CS, Tibone JE. “Transosseousequivalent” rotator cuff repair technique. Arthroscopy. 2006;22(12):1360.e1361–5.CrossRefGoogle Scholar
  23. Pellegrini A, Lunini E, Rebuzzi M, Verdano M, Baudi P, Ceccarelli F. Arthroscopic rotator cuff tear transosseous repair system: The Sharc-FT using the Taylor Stitcher. Arthrosc Tech. 2015;4(3):e201–5.CrossRefPubMedPubMedCentralGoogle Scholar
  24. Salata MJ, Sherman SL, Lin EC, Sershon RA, Gupta A, Shewman E, Wang VM, Cole BJ, Romeo AA, Verma NN. Biomechanical evaluation of transosseous rotator cuff repair: do anchors really matter? Am J Sports Med. 2013;41(2):283–90.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Sanders B. Novel reusable transosseous tunnel based soft tissue repair techniques about the shoulder: a rational, value based approach. MOJ Orthop Rheumatol. 2016;5(1):00164.CrossRefGoogle Scholar
  26. Shea KP, Jennings JE. Arthroscopic rotator cuff repair using a transhumeral approach to fixation. Arthroscopy. 1998;14(1):118–22.CrossRefPubMedGoogle Scholar
  27. Tauber M, Koller H, Resch H. Transosseous arthroscopic repair of partial articular-surface supraspinatus tendon tears. Knee Surg Sports Traumatol Arthrosc. 2008;16(6):608–13.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Claudio Chillemi
    • 1
  • Alessandro Castagna
    • 2
  • Marcello Osimani
    • 3
  1. 1.Department of Orthopaedics and TraumatologyIstituto Chirurgico Ortopedico Traumatologico (ICOT)LatinaItaly
  2. 2.Shoulder UnitIstituto Clinico HumanitasMilanItaly
  3. 3.Department of Radiological Sciences, Oncology and Pathology“Sapienza” - University of Rome (ICOT Latina)RomeItaly

Personalised recommendations