The End of the Beginning

Dear CSS Members: Remember Codman’s statement which is on our home page, “Show me something different for there is a chance of it being better.” Enclosed is a video which was sent to me as “Must watch macro view on how the world’s #1 venture capital firm thinks about the world and the future. While this takes a broad view of all the changes in the future when it comes to the marketplace, it also considers the potential in healthcare. Perhaps some of you want to think like entrepreneurs. Then to do so a good place to start is with the size of the market. I hope this might kindle a small flame and get you to ask as surgeons, “what if I did this?” Best Regards, JP Warner Founder, CSS Link to “T

Announcing the 2020 Codman Shoulder Society Meeting

CSS 2020 Meeting Disruptive Innovation in Shoulder Surgery: Technology Summit Save the date: June 20, 2020 (More to follow) Dear CSS Members and Colleagues: I am writing to inform you that the theme of next year’s CSS meeting will be Technological Disruption in Shoulder Surgery. I am pleased to announce that most major orthopedic companies have agreed to come and present on topics ranging from Robotics to navigation to mixed media to Artificial Intelligence and Machine Learning. We will have an expert from Silicon Valley with a background in VC act as provocateur. More details to follow as I work out the structure of the meeting. Please save the date, June 20, 2020. You should also consider

[Kevin Plancher] "Superior Capsular Reconstruction" on VuMedi

Dear CSS Members: Enclosed are two presentations on Superior Capsular Reconstruction (SCR). These are two of many featured on vumedi.com and I encourage you to go look at others on this website. Most presentations are by expert surgeons who demonstrate their elegant technique for this procedure. It appears SCR is here as a real option for treatment as over 20,000 cases have been performed already. We are seeing a number of publications of small cohort studies (Level 4 evidence mostly) that encourage use of this treatment method. We should keep an open mind but seek more compelling evidence. Perhaps it is time for a multicenter SCR study group (or perhaps some other group is doing this alrea

Resume vs Eulogy Virtues

Dear CSS Members and Colleagues: Enclosed is a TED talk I thought might be useful for those who are prone to reflect on themselves and their impact. For those of you not inclined to do this, ignore my message. This talk by David Brooks talks about Resume Virtues vs Eulogy Virtues and this is presented in the context of Adam 1 vs Adam 2. Anyway, the video speaks for itself. Kind Regards, JP Warner, MD Chief, MGH Shoulder Service

[Joaquin Sanchez-Sotelo] "RSA for Proximal Humerus Fractures: Indications and Tips for Maximizi

Dear CSS Members: Enclosed is a link to a vumedi.com video by Joaquin Sanchez-Sotelo on Reverse for Proximal Humerus Fracture. I recommend this for all who want to see an expert present sound principles for executing an excellent surgery in these difficult cases. Kind Regards, JP Warner, MD "RSA for Proximal Humerus Fractures: Indications and Tips for Maximizing Tuberosity Fixation" by Dr. Joaquin Sanchez-Sotelo, Mayo Clinic, Rochester, MN. Presented at ASAP - Advanced Shoulder ArthroPlasty. Click here to view: RSA for Proximal Humerus Fractures: Indications and Tips for Maximizing Tuberosity Fixation "

[Danny Goel] "Disrupted Surgical Education and Preoperative Planning"

Dear CSS Members and Colleagues: Enclosed is a link to a vumedi.com presentation by Danny Goel on the topic of Virtual Reality for Surgeon Training. Danny was a Fellow on the Boston Institute Shoulder Service working both with myself and Dr. Higgins about 11 years ago. His presentation is especially important as this technology has the potential to create great value by reducing the time for a surgeon's learning curve while adding value to industry and surgeons in a much deeper manner. Danny has not only created a company to achieve this, Precision OS (www.precisionostech.com ), but he continues to be active as a shoulder surgeon teaching and doing research. I have been privileged to hel

[Gilles Walch] "Avoiding Complications with Reverse Shoulder Arthroplasty: My Best Tips" o

Dear CSS Members and Colleagues: Enclosed please find a link to the presentation by Gilles Walch on how to avoid complications with reverse prosthesis. You may have missed this on vumedi but it is worth viewing no matter what system of implant you use. I hope you find this helpful for your practice. Kind Regards, JP Warner, MD Founder, CSS "Avoiding Complications with Reverse Shoulder Arthroplasty: My Best Tips" by Dr. Gilles Walch. Click here to view: Avoiding Complications with Reverse Shoulder Arthroplasty: My Best Tips

"Elite": Life Lessons of Resiliency, Leadership and Mentorship

Dear CSS Members and Colleagues: I wanted to share with you some wisdom I learned from one of my HBS Classmates. Nick Hays is a former Navy Seal who wrote a great book about life lessons of resiliency, leadership and mentorship entitled “Elite” (see below). This is a quick and great read for anyone who wants both inspiration and example on managing yourself and others. (You can order this on Amazon) In addition at the Annual HBS PLD Summit Alumni event he spoke about the impact of mentorship in changing our trajectory of success in life. Please see the image below. In all we achieve our path to success is much faster and much more assured if we can find a mentor to guide us. Put another way,

Jesse Jupiter and Scott's Parabola

Dear CSS Members and Colleagues: Enclosed is an article written by one of the most influential orthopedic surgeons of our time. Dr. Jupiter is truly generational. But it is not the skill he has acquired over all his years as an upper extremity surgeon that makes him so impactful, but the wisdom and thoughtfulness he brings to his view of our philosophy of carrying for patients. Indeed, his writing reminds me of similar writings by Albert Einstein. Einstein was not only a force of nature as a physicist, but he was an incredibly creative philosopher with a great sense of humor. He once said, “The True sign of intelligence is not knowledge but imagination.” In the enclosed article Jesse speaks