Once the Cleverhook is passed through the tendon, the surgeon grabs the free strand (Figs 2F and 3D) and retrieves it through the tendon (Figs 2G and 3E, Video 1), by moving his instrument backward in pronation. A first loop is then created.11Lafosse L. Van Raebroeckx A. Brzoska R. A new technique to improve tissue grip: “The lasso-loop stitch.”. Care must be taken to smoothly pull the instrument out of the tendon, to keep the loop within the visualization area and avoiding pulling the strand out of the shoulder. The Cleverhook goes through the loop and is guided medially and anteriorly from the biceps tendon in order to grab the same strand of the suture again (Figs 2H and 3F). (Grabbing the suture anteriorly is eased by positioning the strand far medially above the superior border of the SSc tendon.) The suture is retrieved though the first loop, creating a second loop (Figs 2I and 3G). Again, care must be taken not to pull the suture too far out, to keep the second loop under visual control. The Cleverhook passes through the second loop (Fig 2J, Video 1), and grabs the free strand posterior to the biceps tendon (Figs 2K and 3H), exiting the shoulder through the anterolateral portal (Figs 2L and 3I). Grabbing the last strand is facilitated when the other 3 strands are previously positioned in a waiting portal. This prevents confusion and enhances suture management.