Method and apparatus for coupling soft tissue to bone

A method of securing soft tissue to bone, comprising:

• locating a first anchor in a bone at a first location and a second anchor in the bone at a second location that is spaced from the first location with an adjustable suture construct extending between the first anchor and the second anchor to couple the first anchor to the second anchor with a segment of soft tissue positioned under the adjustable suture construct and over the bone between the first anchor and the second anchor, the adjustable suture construct including a suture with a first free end and a second free end, the first free end passing through a first longitudinal passage in the suture to form a first adjustable loop, the second free end passing through a second longitudinal passage in the suture to form a second adjustable loop, wherein, with the first free end extending through the first longitudinal passage in the suture to form the first adjustable loop and with the second free end extending through the second longitudinal passage in the suture to form the second adjustable loop, the first free end can be pulled through the first longitudinal passage to decrease a size of the first adjustable loop without decreasing a size of the second adjustable loop and the second free end can be pulled through the second longitudinal passage to decrease a size of the second adjustable loop without decreasing a size of the first adjustable loop;
• and
• pulling on the first free end of the suture to reduce a size of the first adjustable loop, wherein said pulling forces the segment of soft tissue against the bone.

A method of securing soft tissue to bone, comprising:

• locating a first anchor in a bone at a first location, the first anchor having an adjustable suture construct coupled to the first anchor, the adjustable suture construct including a suture with a first free end and a second free end, the first free end passing through a first longitudinal passage in the suture to form the first adjustable loop, the second free end passing through a second longitudinal passage in the suture to form a second adjustable loop;
• locating a second anchor in the bone at a second location that is spaced from the first location;
• coupling the adjustable suture construct to the second anchor;
• and
• pulling on the first free end of the suture with the first anchor located at the first location and coupled to the adjustable suture construct and with the second anchor located at the second location and coupled to the adjustable suture construct so as to reduce a size of the first adjustable loop and force a segment of soft tissue that is positioned under the adjustable suture construct and over the bone between the first anchor and the second anchor against the bone.

A method of securing soft tissue to bone, comprising:

• locating a first anchor in a bone at a first location with an adjustable suture construct that is coupled to the first anchor extending from the first anchor and through a soft tissue that is positioned over the bone so that at least part of the adjustable suture construct is positioned along an outer surface of the soft tissue, the adjustable suture construct including a suture with a first free end and a second free end, the first free end passing through a first longitudinal passage in the suture to form a first adjustable loop, the second free end passing through a second longitudinal passage in the suture to form a second adjustable loop, the first free end passing through the first longitudinal passage without passing through the second longitudinal passage, the second free end passing through the second longitudinal passage without passing through the first longitudinal passage;
• locating a second anchor in the bone at a second location that is spaced from the first location;
• coupling the adjustable suture construct to the second anchor;
• and
• pulling on the first free end of the suture with the first anchor located at the first location and coupled to the adjustable suture construct and with the second anchor located at the second location and coupled to the adjustable suture construct so as to reduce a size of the first adjustable loop, wherein said pulling forces a segment of the soft tissue that is positioned under the adjustable suture construct and over the bone between the first anchor and the second anchor against the bone.