From a world-famous pioneer in arthroscopic shoulder surgery comes the first step-by-step "how-to" guide to advanced techniques in shoulder arthroscopy. Dr. Burkhart describes the innovative techniques and instruments he has devised to solve the most difficult surgical problems and offers dozens of tips, tricks, and pearls you won't find in any other book. More than 900 full-color arthroscopic and clinical photographs and numerous drawings complement the text.The first section explains the principles that underlie successful operative shoulder arthroscopy. The second section gives step-by-step, bulleted instructions and "tricks and tips" for 70 arthroscopic procedures.A bound-in DVD contains 4 hours of video showing the 70 procedures. Each procedure in the text correlates exactly to the video.

PART I: THE BASIS OF COWBOYIN': THERE AIN'T A HORSE THAT CAN'T BE RODE, THERE AIN'T A MAN THAT CAN'T BE THROWEDVisualizationAngle of ApproachAchieving a Stable ConstructUnderstanding and Recognizing the PathologyThe Tough StuffExposing the Hidden LandmarksInsurmountable Problems: Bone DeficiencyGaining Speed and Tricks of the TradeOrdering the StepsRotator Cuff Tear PatternsPostoperative RehabilitationPART II: PLAYIN' WITH FIRE: A COWBOY'S GUIDE TO COOKIN' (WORKIN' SMOOTH), SMOKIN' (WORKIN' FAST), AND BRANDIN' (LEAVIN' YOUR MARK)IntroductionOperating Room Set-upInstability Arthroscopic Bankart Repair / Arthroscopic Latarjet Procedure / Arthroscopic Treatment of Multidirectional Instability / Non-Engaging Hill-Sachs Lesion / Open Latarjet Reconstruction / Posterior Bankart and SLAP Repair / Repair of Bony Bankart Lesion / Repair of Reverse HAGL (Humeral Avulsion of Glenohumeral Ligaments) Lesion / Repair of Triple Labral Lesion / Arthroscopic Repair of HAGL LesionSLAP SLAP RepairSubacromial Procedures (Non-Cuff) Arthroscopic Acromioplasty / Arthroscopic Distal Clavicle Excision / Coplaning of Distal Clavicle / Os Acromiale ExcisionStiffness Capsular Release for Adhesive Capsulitis / Capsular Release for Post-op Stiffness / Manipulation Under AnesthesiaRotator Cuff Completion of a PASTA Lesion to a Full-Thickness Cuff Tear / Coracoplasty with Non-Retracted Subscapularis Tendon / Double Pulley Technique of Double Row Repair / Double Row Rotator Cuff Repair / L-Shaped Tear Assessment / Margin Convergence to Bone in a Reverse-L Tear / Massive Adhesed Rotator Cuff Tear / PASTA Repair: One Anchor Repair / Repair of a Partial (Upper) Subscapularis Tear / Repair of Bursal Sided Rotator Cuff Tear / Repair of Complete Subscapularis Tear / Repair of Interstitial Rotator Cuff Tear / Reverse L-Shaped Tear: Evaluation and Repair / Small Bursal-Surface Crescent Tear with Single Lateral Row Fixation / The "Bubble" Sign: A Method of Detecting an Interstitial Rotator Cuff Tear / The "Triple Double" Technique of Rotator Cuff Footprint Reconstruction / The Roller-Wringer Phenomenon / The Shoestring Technique of Knotless Lateral Row Fixation / Tuberoplasty: Arthroscopic Treatment of Greater Tuberosity Malunion / Margin Convergence to Bone: Double Row Repair of a Small U-Shaped Tear / Double Interval Slide Technique / Routine Margin Convergence Technique / Double Row Margin Convergence to Bone / Two Anchor Transtendon PASTA Repair via the Double Pulley Technique / Anterior Interval Slide in Continuity / Anterior Interval SlideBiceps Arthroscopic Assisted Biceps Tenodesis for Retracted Biceps Tendon Tear: The Cobra Procedure / Biceps Tenodesis without Supraspinatus Tear / Biceps Tenodesis with Torn SupraspinatusTricks and Tips Arthroscopic Knot Tying Using the Sixth Finger Knot Pusher / Anchor Removal from Glenoid Using OATS Harvester / Anchor Removal from Greater Tuberosity Using OATS Harvester / Arthroscopic Suprascapular Nerve Release at Suprascapular Notch / Compaction Bone Grafting Utilizing OATS Harvester / Exposing the Scapular Spine / Salvaging a Loose Anchor by the Buddy Anchor Technique / The "Suture Weave" Technique of Reloading an Anchor / Pull the Right One: How to Assure That You Don't Unload a Suture AnchorAssorted Conditions Calcific Tendinitis / Mini-Capsular Plication in the Overhead Athlete / Stretching and Strengthening Exercises Patient Education VideoThe Future BioForkLok Bankart Repair / FiberChain/Swivel-Lok Double Row Rotator Cuff Repair