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Irreparable posterior-superior rotator cuff tear (IPSRCT) is a common clinical condition. Many methods of transfer of the long head of the biceps (LH have been developed to augment the shoulder superiorly, with the best method using the LHB still being pursued. In this article, we introduce a special method using the LHB to address IPSRCT arthroscopic dynamic LHB rerouting. The main steps of this technique include opening the native bicipital groove, creating a new bicipital groove through the greater tuberosity, rerouting the LHB i