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 RC Tears
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 as a shoulder expert, and that is the authentic “Hawk”who was not only an inspiration to his students but a friend. Robert “Bob” Neviaser reflects on 50 years as a leader in shoulder surgery and a member of a true “Shoul
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 using IMASCAP (now marketed as Blueprint) have confirmed optimal geometry and mechanics for reverse prosthesis. Kind Regards, Jon JP Warner, MD Founder, CSS
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-László Barabási - The real relationship between your age and your chance of success
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 Founder, CSS I watched this TED Talk and thought you would find it interesting. Matt Walker - Sleep is your superpower Learn more about watching TED Talks on all of your favorite platforms.
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 surgeons are of the opinion that lateralization of the glenoid sphere will improve ER, but I do not think this is the case as I’ve seen exactly that patient with a functional loss of ER and have had to do a Lat Dorsi transfe
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 to shorten your learning curve is to seek out great teachers whose experience and teaching will reduce the learning curve affect. Enclosed is a link to a video on vumedi about this concept, in case you missed it. Best Reg
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-superior Tears: When Pectoralis Major Transfer, When Latissmus Dorsi Transfer? "The Story Behind the Latissimus Dorsi Transfer" by Dr. Christian Gerber, University of Zurich, Zürich, Switzerland.
Dear CSS Members and Colleagues: Enclosed is a link to a www.vumedi.com presentation by Dr. Romeo on the concept of Pseudoparalysis and it’s treatment. You may have missed this on vumedi. Dr. Romeo brings clarity to the confusing term which seems to mean different things to many surgeons. Kind Regards, JP Warner, MD Founder, CSS Click here to view: Massive Rotator Cuff Repair in The “Pseudoparalytic” Patient
Dear CSS Members and Colleagues: Enclosed is a link to a short TED Talk by Simon Sinek. Have you thought about where you work and its culture? What about your leader(s). We are always at our best when we work in a place where we feel valued and safe. Consider this insight. Kind Regards, JP Warner, MD Founder, CSS
Dear CSS Members and Colleagues: Enclosed is a link to a presentation on www.vumedi.com on Measuring Value in Rotator Cuff Repair. Please consider this in the context of the surgery you perform and the innovations which are coming to us on a more frequent basis. You can find many more presentations on this topic on the vumedi website including SCR and Tendon transfers. I’d recommend you review all of these with an open mind and a consideration of the value of each. Kind Regards, JP Warner, MD Founder, CS "What Is the Value of RC Repair and How Should We Measure It?" by Dr. J.P. Warner, Boston Shoulder Institute, Boston, MA. Presented by the Balgrist University Hospital. Click here to view:
Dear CSS Members and Colleagues: I recently finished my Executive Program at Harvard Business School and wanted to share some thoughts with you. While each of you has a career path and a personal agenda, the program in which I was enrolled greatly influenced my own, even at this stage in my career. In this post I’ll share a little bit about the program and will be posting on other aspects of what I learned. The program is an alternative to an Executive MBA, so those of you inclined to spend up to two years getting the “MBA” after your name might consider the value of Alumni Status at HBS after an intense 12 month alternative which consists of 5 modules that occur both online and on-campus. S