Codman Shoulder Society

Dear C.S.S. Members and Colleagues: In case you missed it here is a very elegant presentation by Karl Wieser at the Balgrist Shoulder Course on the natural history of rotator cuff tears based on scientific analysis of a number of factors. Bottom line is that tear progression over 4 years is about 50%. Regards, JP Warner, MD Founder, CSS "Natural History of RC Tears" by Dr. Karl Wieser, Balgrist University Hospital, Zürich, Switzerland. Click here to view: Natural History of R

Dear CSS Members and Colleagues: Enclosed is a video from the originator of the LTT technique. This is essential viewing for those of you who plan to use this method. I’d like to remind you that last year we studied our results with Lat Dorsi vs Lower Trapezius Tendon Transfer and found equivalence. Best of Luck, JP Warner, MD Founder, CSS

Dear CSS Members and Colleagues: Enclosed are articles reflecting the life experience of two great leaders and thinkers in shoulder surgery. Rich “Hawk” Hawkins speaks to the journey of his life and its purpose. He equates this to his enjoyment and impact, and those of you fortunate enough to have met him will hear the calm and melodic tone of his voice as you read this thoughtful expose. He chose to speak more about his journey than the innovations and leadership he offered

Dear CSS Members and Colleagues: Enclosed is a presentation from Mark Frankle specifically addressing his opinion regarding the Biomechanics presentation on vumedi by Zumstein. I had posted this link previously. Please take note that this is, as usual, very thoughtful in blending biomechanics as well as clinical outcomes; though it is promotional for a particular product. Be advised, many other systems take advantage of these biomechanical observations and recent analysis usi

Dear CSS Members and Colleagues: Enclosed is a very thoughtful and creative consideration of Performance vs Success with a correlation to age. You may (or may not) be surprised by what Professor Albert-László Barabási says in his TED TALK about your potential for impact throughout your life. If you are over 30, you should definitely watch this. If you are under 30, you should watch this to understand your runway for success. Kind Regards, JP Warner, MD Founder, CSS Albert-Lás

Dear CSS Members and Colleagues: Enclosed is a great TED talk about something you probably take for granted and consider only on occasion, sleep. As it turns out, if you sleep > 8 hours, you are more creative and have better short term memory than if you sleep < 6hours. This is only one effect of sleep. The other impacts of sleep deprivation are a bit more concerning. You probably missed this as it is a TED TALK and certainly worth your attention. Kind Regards, JP Warner, MD

Dear CSS Members and Colleagues: Enclosed is a very clear and concise overview of the Biomechanics of RTSA. This is as presented by Matthias Zumstein and is a link to the vumedi video which you may have missed. This is essential to understanding how you perform a reverse prosthesis and optimize mechanics and it is worth the short investment of your time. Kind Regards, JP Warner, MD Founder, CSS Click here to view: Biomechanics of RTSA: Best Position and Implant Design

Dear CSS Members: In case you missed it enclosed are two interesting videos featured on vumedi. You will be prompted to sign in and if you are not a member you can join for free. The first video by Prof. Pascal Boileau demonstrates the technique of Latissimus Dorsi Transfer with Reverse Prosthesis. This is a method he developed and the one I use and it is indicated when patients have profound external rotation loss with an evident “ER Lag sign” or “Drop arm sign”. Some surge

Dear CSS Members and Colleagues: As we strive to create value for our patients we may forget that our journey to become excellent entails some degree of learning. This learning curve may affect the actual value you deliver during your career. Keep this in mind as you adopt new methods of treatment and remember that the only way to mitigate this affect is through measurement and critical introspection to improve your judgement and skills. That said, don’t forget the best way t

Dear CSS Members and Colleagues: Enclosed is a link to a video by Christian Gerber on vumedi dealing with management of irreparable anterior and antero-superior rotator cuff tears in case you missed it. Kind Regards, JP Warner, MD Founder CSS "Irreparable Anterior or Antero-superior Tears: When Pectoralis Major Transfer, When Latissmus Dorsi Transfer?" by Dr. Christian Gerber, University of Zurich, Zürich, Switzerland. Click here to view: Irreparable Anterior or Antero-super