Tears of the shoulder capsule attended by retraction of the edges of the
tear, inability to close the gap, and pathological changes in the biceps
tendon may be very effectively managed by: (1) a transacromial exposure
with a V-shaped osteotomy and subsequent replacement of the acromion with
bone screws, and (2) standard repairs of the shoulder capsule after the
biceps tendon has been reseated in a newly constructed, more laterally
located groove in the head of the humerus. The follow-up results document
the value of these procedures done on a group of fourteen patients.