A suture anchor insertion apparatus includes an insertion device having an insertion sheath. The insertion sheath includes an inner chamber and a distal end. The distal end is adapted to penetrate bone of a subject, and the distal end defines an opening in communication with the inner chamber. An anchoring device is carried by the insertion sheath within the inner chamber. The anchoring device includes a distal surface adapted to engage the bone of the subject when the distal end of the insertion sheath penetrates the bone of the subject. The anchoring device is adapted to pass through the opening to detach from the insertion sheath and couple to the bone of the subject. A suture is coupled to the anchoring device and is adapted to couple to soft tissue of the subject.