It is a privilege and honor to write the foreword for this book. The contri- tors to Arthroscopic Rotator Cuff Surgery: A Practical Approach to M- agement are a national and international Who’s Who of arthroscopic shoulder surgery. They are to be congratulated on presenting the most up-to-date, scienti?c, clinical, and, particularly, technical aspects of arth- scopic cuff surgery. The subject of this text is very timely given the current enthusiasm of arthroscopic and shoulder surgeons for achieving rotator cuff repairs through the arthroscope. This book is carefully structured, organized, well written, and expertly illustrated. The inclusion of video footage that demonstrates selected p- cedures greatly enhances the textbook descriptions. The video is in DVD format, which is the ideal medium to help the reader understand the pr- ciples of arthroscopic cuff surgery. I have been blessed to be able to grow with the evolution of shoulder surgery, and it is pleasing to see the current state of arthroscopic cuff surgery. Not too many years ago, we made rather large incisions in taking the deltoid off the acromion for exposure to achieve a rotator cuff repair. Some surgeons, particularly in Europe, osteotomized the acromion for exposure. We then slowly migrated to utilizing a mini approach that allowed arthroscopic inspection of the glenohumeral joint and subacromial space allowing decompression, if desired. We are now learning, particularly through focused texts such as this and expert tea- ers such as the authors, to achieve rotator cuff repair arthroscopically.
This cutting-edge text is written by pioneers in the field who guide the reader through the technical steps of rotator cuff procedures. In keeping with growing patient demand for less invasive treatments, emphasis is placed on arthroscopy. The timely book answers key questions raised at instructional courses, such as how to convert from mini-open repair to all arthroscopic repair. The fundamentals, including patient positioning, suture anchor options, and knot tying, are covered in addition to state-of-the-art techniques. Clavicle resection, tendon to tuberosity repair, PASTA repair, large and massive repair techniques, and subscapularis repairs are among the approaches detailed. The book also presents margin convergence repair, interval slides, matrix grafts, and biceps tendon disorders. Chapters on mechanics and healing, postoperative rehabilitation, and avoiding complications complete the book. The step-by-step approach of the text is supplemented by a wealth of illustrations and photographs. Orthopedic residents and experienced surgeons will find the clinical pearls highlighted throughout the book.
