A 55-year-old male presents with a complete tear of the subscapularis tendon confirmed on MRI. He reports significant weakness in internal rotation and difficulty performing daily activities such as reaching behind his back, lifting objects, and combing his hair. He has undergone 6 months of physical therapy without improvement, and his symptoms have progressively worsened. On examination, he has: Positive lift-off test: Unable to lift his hand off his lower back. Positive belly press test: Weakness and pain when pressing his palm against his abdomen. Weakness in internal rotation: Demonstrated during resisted internal rotation testing. The orthopedic surgeon recommends surgical repair due to the failure of conservative management and the significant functional impairment caused by the tear. Question: Which of the following surgical approaches is most commonly used for subscapularis repair?
