Instability Cases WESTERN WISDOM On the darkest night, the stars are brightest. CASE 1: COMBINED REVERSE HAGL (RHAGL) LESION AND POSTERIOR BANKART LESION History: 21-year-old man who fell onto outstretched…

Shoulder Stiffness WESTERN WISDOM Don’t repent. Stop sinning. A major function of the shoulder is to position the hand in space. When the shoulder is stiff, the hand becomes less…

Rotator Cuff Cases WESTERN WISDOM Followin’ the crowd is the quickest way to get nowhere. CASE 1: MASSIVE TRAUMATIC ROTATOR CUFF TEAR WITH INTRATENDINOUS DISRUPTION NEAR THE MUSCULOTENDINOUS JUNCTION History:…

Suprascapular Nerve Release Western Wisdom A self-centered, self-made man worships his creator. Recently, there has been increased interest in disorders of the suprascapular nerve. While the suprascapular nerve provides sensory…

Philosophy of Instability Repair WESTERN WISDOM When two play, one wins. We have come a long way since the 1990s, when “experts” would openly debate whether arthroscopic instability repairs should…

Future Developments WESTERN WISDOM When the boss wants a long talk, you’re in for a long listen. The senior author (SSB) has been fortunate to participate in the development of…

Assorted Cases WESTERN WISDOM A diamond is a chunk of coal that made good under pressure. CASE 1: ANTEROINFERIOR GLENOID FRACTURE WITH LARGE BONE FRAGMENT History: 45-year-old man Fell 6…

Postoperative Rehabilitation WESTERN WISDOM A cow outfit is no better than its horses. Rehabilitation following arthroscopic shoulder surgery is as important as performing a technically sound procedure. Our general philosophy…

Philosophy of Managing SLAP Lesions WESTERN WISDOM A wink is as good as a nod to a blind mule. The role of the biceps/superior labral complex in overhead athletics as…

Advanced Shoulder Arthroscopy Essentials WESTERN WISDOM Advice is handy only before trouble comes. As in all surgical procedures, the operating room setup for shoulder arthroscopy is an essential component of…