Paul C. Brady, MD (Knoxville, TN), reviews how he chose to perform a shoulder instability repair of a complicated type IV SLAP tear with Bankart and Hill-Sachs lesions. For this repair, Dr. Brady used 3.0 mm Knotless SutureTak® anchors to achieve a low-profile, knotless construct. Tensionable knotless technology allows for precise tensioning of soft tissue that can be applied throughout complex shoulder instability procedures.