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Book review

      This text is a second edition, revised since the primary text was published in 1997, now grown to 49 leading authors from 31 original contributors. While the format is largely the same as the original, this new text is more thorough, expanding on the prior knowledge base and author experience in the intervening 8 years.
      As Dr. Gerber points out in his introduction, many revision situations are rare enough so that extensive literature review is not available. This is how the editors tap into the experience of an international community of well-respected and thoughtful contributors.
      There are 6 primary sections: instability, rotator cuff tears, stiff shoulder, fractures, arthritis/arthroplasty, and miscellaneous problems (which include chapters on nerve lesions, scapular disorders and deltoid injuries). Within each section, the authors provide a short introductory segment, emphasizing diagnostic tools and clinical examination pearls.
      With the growing experience on arthroscopic techniques, there are ample descriptions of arthroscopic management methods, especially in instability, rotator cuff disorders, and stiffness. This is not a text focusing on basic shoulder arthroscopy, but rather for the experienced shoulder surgeon who regularly deals with complicated and/or revision situations. Knot-tying techniques, portal placement, and injury recognition are emphasized in these sections with color, step-by-step figures. Because so many intricate steps are involved in many arthroscopic procedures, a DVD would be a welcome future addition.
      With the evolution of our knowledge of shoulder disorders, and the increasing demands placed on this joint in our active and aging population, this text is a must for consultation on a complicated topic of revision shoulder surgery. I have found the first edition helpful in many situations, and welcome and congratulate the editors and authors for their meaningful contribution to the literature over the years in journals, and through this new addition to our library.