and you pull your cannula out and you lose your cannula, then you're gonna get suture bridges as you're passing and tying, and it's not necessarily suture spaghetti, it's tissue spaghetti, which makes it even more complicated than the suture spaghetti that you deal with. I like to visualize from anteriorly in the subacromial space on every case and debride the posterior bursal curtain. So I look from the front and debride the posterior bursa on every single case so that I have a long, big room with a view that I don't worry about, which helps a lot. You wanna be really sure that you don't unload your anchor, so as you're retrieving your suture to pass, which is gonna be your post-suture, you really wanna pay attention to the non-post strand to make sure you're not doing anything to get yourself into trouble. I like the alternative docking cannulas for the past sutures, and you can either store it inside the cannula, and some of the newer devices, either using the plastic straws or using a cannula that allows you to isolate and separate the sutures are an option, or just put a switching stick in, pull your cannula out, go right back in with your switching stick, and then you've isolated those suture pairs so you're not gonna get into trouble with the color-coded organizers. If you do get into trouble, use your suture retriever or your crochet hook to isolate your pairs, don't guess, because that's how you ultimately end up unloading an anchor or tying another suture pair in place. And I like that last thing that I showed. Take your knot tire, run it down one of the limbs, and deliver it to yourself so that you're not gonna get into trouble, and you'll be able to identify the suture pairs that are necessary. Thank you. All right, Kelly, you're up. Cool, Kelly. Found it. There's a question. Okay, is that my drinking? Bill. Just one comment. For Frank and for the panel, if you have your coracoid log split down your two holes, which does happen, you can quickly convert to a double-row suture anchor repair and so you put anchors in medial, wrap them around the remaining half of the bone graft that's still intact, and then put it into a second row of anchors. And you keep the screws in there, too? No, the screws, this is the, you've put your screws in, you log split it, now you can't control the bone with the screws. You take the screws out, you put in anchors. We wrote up a little case report in Arthroscopy Journal. Thank you for your help. In the words of Johnny Carson, I did not know that.

shoulder surgeries

visualization

debriding

suture pairs

double-row suture anchor repair