So, how many seconds did I burn, Gus? In the words of Elizabeth Taylor Turr, eighth husband, I won't keep you here very long. So number one, I already mentioned, don't kill the biceps in a thrower. God gave us a bicep for a reason. We talked about that. All right. Here's number two. Don't wait for an MRI in addressing distal biceps rupture or pec major rupture. I've had patients send to me, I had to wait till the MRI to get the diagnosis and take an easier case, never easy, and make it harder. Please don't do that. For large cuff tears, I don't know if Steven Snyder's in the audience, he taught me this 20 years ago. When you're having trouble and you didn't consent for an SCR, sew the infraspinatus to the biceps. As we say in Brooklyn, it woiks. It woiks. He wrote about this. Steve Brooker wrote about this in 1999. And there's a lot of talk about the biceps as a SCR cut it. Sew the infraspinatus to the biceps, you'll have another bailout. Steven Snyder taught me this 20 years ago. It works very well. Number four. In this double row universe we live in, we forgot how to reduce tears. Use margin convergence whenever possible. Most cuff tears retract posteriorly and double row in many, many tears is non-physiologic. Okay. I've said it. That's because the footprint of the luteal infraspinatus is only 1.3 millimeters laterally. So I think crescent tears are very rare. Almost every tear I see retracts posteriorly. So respect the configuration. And finally, you know how much I'm passionate about remplissage, Eugene Wolfe, 20 years ago. If you think about doing it, do it. There's no downside. And it rivals Latourget and success. If you look at the studies of Rhee, who looked at his Latourget versus Remplissage, 0% complications, both had a 5% recurrence root in both groups. So I leave you. What would you want for your loved one? So thank you very much.

orthopedic issues

biceps tears

cuff tears

distal biceps rupture

pec major rupture