Method for coupling soft tissue to a bone

1. A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail, the self-locking construct including a first loop and an adjustable second loop coupled thereto, the method comprising:

implanting an anchor in bone, the anchor slidably mounted to the tail;

positioning the tail relative to the tissue;

inserting an end of the tail through the first loop;

passing the tail through the first loop, pulling the adjustable second loop into the anchor, and positioning the self-locking construct relative to the tissue; and

tightening the self-locking construct against the tissue by pulling on an end of the self-locking construct,

wherein positioning the tail includes positioning the tail such that the tail passes through a first tissue portion and a second tissue portion to arrange the self-locking construct across the first tissue portion and the second tissue portion, and couple the first tissue portion to the second tissue portion.

2. The method of claim 1 , further comprising positioning the tail relative to the tissue one of before or after implanting the anchor in bone.

3. The method of claim 1 , wherein positioning the tail includes positioning the tail such that the tissue is between a first portion of the tail and a second portion of the tail, and wherein positioning the self-locking construct includes wrapping the self-locking construct around the tissue.

4. The method of claim 1 , further comprising tightening the first loop to the adjustable second loop by sliding a first body of the self-locking construct along the self-locking construct to decrease the size of, and adjust, the first loop, and tensioning the adjustable second loop by pulling on the end of the self-locking construct to move the anchor from an expanded position to a collapsed position by flexing the anchor to secure the anchor within the bone.

5. The method of claim 1 , wherein the tissue is labrum tissue and the method further includes:

passing a shuttling strand under the tissue with a passer;

pulling the shuttling strand from under the tissue with a grasper;

pulling the shuttling strand through a portal and coupling the shuttling strand to the tail;

pulling the tail under the tissue with the shuttling strand and arranging the tail such that the tissue is generally between a first portion and a second portion of the tail;

forming a bone hole in the glenoid with a drill, the bone hole formed near the tail;

implanting the anchor in the bone hole using an insertion tool;

passing the tail through the first loop outside of the body;

pulling the tail out of the joint space and entirely through the first loop; and

pulling the end of the self-locking construct to tighten the self-locking construct onto the labrum tissue.

6. A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail, the self-locking construct including a first loop and a second adjustable loop coupled thereto, the method comprising:

implanting an anchor in bone, the anchor slidably mounted to the tail;

passing the tail through the tissue;

inserting an end of the tail through the first loop;

passing the tail through the first loop, pulling the second adjustable loop into the anchor, and positioning the self-locking construct through the tissue; and

tightening the self-locking construct against the tissue by pulling on an end of the self-locking construct.

7. The method of claim 6 , further comprising implanting the anchor one of before or after passing the tail through the tissue.

8. The method of claim 6 , further comprising passing the anchor through the tissue prior to implanting the anchor in the bone.

9. The method of claim 6 , further comprising passing the tail through the tissue from an inner surface to an outer surface of the tissue.

10. The method of claim 6 , further comprising passing the tail through the tissue twice, such that the self-locking construct extends through the tissue in a first direction and returns through the tissue in a second direction.

11. The method of claim 6 , wherein the anchor is a first flexible anchor, the method further comprising implanting a second flexible anchor in the bone, the second flexible anchor slidably mounted to the tail.

12. The method of claim 11 , further comprising implanting the first flexible anchor in the bone medial to the second flexible anchor.

13. The method of claim 11 , further comprising implanting a third flexible anchor in the bone, the third flexible anchor slidably mounted to the tail.

14. The method of claim 6 , further comprising passing the tail through rotator cuff tissue.

15. The method of claim 6 , further comprising tensioning the tissue in the lateral direction by pulling on the end of the self-locking construct.

16. A method for coupling tissue with a flexible member including a tail and a self-locking construct coupled to the tail, the self-locking construct including a first loop and a second adjustable loop coupled thereto, the method comprising:

passing the tail through a first tissue and a second tissue;

inserting an end of the tail through the first loop;

passing the tail through the first loop, pulling the second adjustable loop into and across both the first tissue and the second tissue; and

tightening the self-locking construct against both the first tissue and the second tissue by pulling on an end of the self-locking construct to couple the first tissue to the second tissue.

17. The method of claim 16 , wherein the first tissue and the second tissue are separated rotator cuff tissue.

18. The method of claim 16 , wherein the first loop is adjustable, and further comprising closing the first loop onto the second adjustable loop of the self-locking construct to secure the first loop to the second adjustable loop and retain the first tissue in contact with the second tissue.

19. The method of claim 18 , further comprising passing the entire tail through the first loop and pulling the end of the suture construct to decrease the size of the second adjustable loop.