Patients with anterior shoulder dislocation who do not have capsular ligament defects or bone defects in the scapular glenoid or humeral head, but who are young and play competitive rival sports, still have a higher chance of failure with capsular labral repair alone. For these patients, one measure is to promote healing of the glenoid labrum of the capsule, and a more reliable method is to use a joint tendon transfer fixation in conjunction with the glenoid labrum repair. The joint tendon refers to the tendon of the short head of the biceps and the rostro-humeral muscle that is attached to the rostral process of the anterior aspect of the shoulder joint. The so-called transfer fixation procedure involves cutting off part of the rostral process with this tendon, passing it through the subscapularis muscle on the anterior side of the shoulder joint, and fixing it to the anterior inferior border of the scapular glenoid. The rostral tuberosity carried in a joint tendon transfer can be large or small. The first joint tendon transfers carried a small segment of rostral tuberosity, and fixation of the joint tendon was achieved by fixing the rostral tuberosity to the scapular glenoid (Bristow technique). Later, it was found that the Bristow technique transferred a small bone mass that was not easily fixed, which affected the healing of the scapular glenoid, so a joint tendon transfer with a long rostral process was used instead (Latarjet technique). Both methods still carry relatively large bone blocks, which are fixed directly to the scapular glenoid after transfer, and the joint tendon forms an indirect connection to the scapular glenoid through the bone block, generally referred to as rostral transfer surgery. The effect of rostral transfer fixation in preventing recurrence of shoulder dislocation is very obvious. In shoulder abduction and external rotation (the position of shoulder dislocation), the joint construct itself and the subscapularis muscle below the joint tendon create a block to the forward dislocation of the humeral head. Because of the clear results of this type of procedure, some surgeons rely on this type of procedure alone to treat shoulder dislocations without performing a capsule-glenoid labrum repair. Currently, both the Bristow technique and the Latarjet technique can be done arthroscopically, but were once referred to as the pinnacle of shoulder arthroscopy techniques because of their long learning curve. However, both the Bristow technique and the Latarjet technique have a major drawback in that they disrupt the rostral shoulder arch. The rostro-capital arch is an arch-shaped structure above the shoulder joint consisting of the rostral process, the acromion, and the rostro-capital ligament that connects the two. This structure maintains stability over the shoulder joint and, in patients with massive, irreparable rotator cuff injuries, is the key structure and the only structure that prevents upward dislocation of the humeral head. Further attention needs to be paid to the study of what happens when patients develop rotator cuff injuries after rostral shoulder arch disruption, either due to trauma or due to degeneration in old age. In order to circumvent the shortcomings of the Bristow and Latarjet techniques while taking advantage of the effects of joint tendon transfer fixation, we perform a joint tendon transfer with only a small piece of bone. Generally, only a small piece of bone is brought to the tip of the rostral process to ensure the integrity of the rostral shoulder ligament, i.e., the rostral shoulder arch. The tendon is fixed directly to the scapular glenoid rather than indirectly by fixation of the rostral tuberosity, so we refer to this joint tendon transfer without disruption of the rostroscapular ligament as a true joint tendon transfer. Arthroscopic fixation of the joint tendon transfer is slightly easier than arthroscopic fixation of the rostral synovial transfer, which usually takes 1 to 1.5 hours. However, clinically we do not treat these patients with a joint tendon transfer alone; we perform both a capsule-glenoid labrum repair and a scaphoid bone graft augmentation procedure. We call this the “combined tendon transfer triad” for anterior shoulder dislocation, which includes a combined tendon transfer, a scapular glenoid implant, and a glenoid labral repair of the joint capsule at the same time. Currently, the arthroscopic combined tendon transfer triple procedure is our standard procedure for young patients playing competitive sports.