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this surgery repairs a tier of the rotator cuff in your shoulder the rotator cuff is group of muscles and tendons it holds the head of the humerus in the shoulder socket in preparation for the procedure you lie on your back who are an aesthetized the surgeon makes a few small openings in your skin an arthroscopic camera is inserted through one of the openings this lighted camera displays a video image on a monitor surgical instruments are inserted through the other openings your surgeon carefully inspects your shoulder if loose fragments of tendon or other debris are found they are removed your surgeon may also remove bone from the underside of the acromion this will prevent the acromion from pinching the rotator cuff next the surgeon repairs the tear a tear can be repaired in several different ways your surgeon may use sutures anchors or other devices depending on your needs if your rotator cuff is severely torn your surgeon may need to make a small incision in your skin during this p