Purpose: The aims of this study were to describe our technique and outcome of arthroscopic repair of small rotator cuff tears.

Methods: The technique involves two screw-in anchors placed into the footprint area, linked with a double-loop No. 1 Polydioxanone suture. It is quick and simple, providing a similar fixation to other commonly used methods. Between 1999 and 2001, 20 repairs were performed using this technique in patients with rotator cuff tears < 2cm in size. Prospective follow-up was conducted on these patients. Mean age was 56.5yrs (range 37–72yrs) with 10 males and 10 females (8 left and 12 right sided cuff tears).

Results: Mean follow-up period was 13mths (range 10–28mths). Constant scores improved from preoperative mean 34 (range 22–53) to postoperative mean 85 (range 76–96). Pain scores (/15) improved from preoperative mean 3.7 to postoperative mean 13.4. All regained full range of movement. All were satisfied with the operation. There was an average 90% subjective improvement. There were no complications.

Conclusion: Arthroscopic rotator cuff repair for small tears produces satisfactory results using this technique.