When a rotator cuff tear is deemed irreparable—meaning the torn muscle and tendon cannot be successfully stitched back to the bone—patients and their surgeons face difficult decisions about how to proceed. While reverse shoulder replacement has become increasingly popular as a solution, arthroscopic management offers meaningful benefits for carefully selected patients. This article explores why some patients achieve excellent outcomes with arthroscopic techniques rather than

Osteoarthritis is, at its core, a disease of cartilage exhaustion — a slow grinding away of the biological shock absorbers that let joints move freely and without pain. In my practice, I see patients in their fifties and sixties who are desperate not to cross the bridge into total joint replacement. Increasingly, they're asking me about stem cell therapy. My honest answer has become more nuanced over the past five years, because the science has genuinely matured. Two cell sou

Reverse total shoulder arthroplasty (RTSA) has become a highly reliable solution for patients with severe shoulder arthritis, rotator cuff tears, fractures, and failed prior shoulder surgery. As implant designs evolve, patients often ask about newer “stemless” or inlay implants versus traditional stemmed shoulder replacements , and how these choices affect recovery, durability, and long-term outcomes. Inlay vs Onlay Humeral Components: What’s the Difference? A traditional on

Proximal humerus fractures are a common injury in the elderly, often resulting from low-energy falls. Managing these fractures presents unique challenges due to factors like osteoporosis, comorbidities, and limited bone quality. Traditional treatment methods, including conservative management and open reduction internal fixation (ORIF), sometimes fail to restore function or lead to complications. Recently, reverse total shoulder arthroplasty (RTSA) has emerged as a promising

Many patients are surprised to learn that osteoporosis and osteoarthritis are completely different conditions, even though both affect the bones and become more common with age. Knowing the distinction can help you understand your symptoms, guide your treatment options, and protect your long-term bone and joint health. What Is Osteoporosis? Osteoporosis is a condition where the bones become weak, fragile, and more likely to break . It develops when the body loses bone fast

About two weeks ago I discovered two exciting areas of AI research could reshape the future of regenerative orthopedics: AI-based protein modeling and virtual cell simulations. I knew that this technology was on the way but until recently I did no understand how far it had come. In a recent interview on A16Z with Mark Zuckerberg and Priscilla Chan (of Facebook fame) I learned what their Biohub project is working on in collaboration with multiple university research centers

Introduction Over the past decade, peptide therapy has sparked growing interest across sports medicine, regenerative orthopedics, and wellness medicine. Peptides—short chains of amino acids that serve as cellular messengers—are being explored for their potential to promote healing and reduce inflammation in musculoskeletal injuries. As an orthopedic surgeon, I often receive questions about the role of peptide injections in enhancing recovery or supporting joint and soft-tissu

By an orthopedic surgeon who fixes a lot of knees—and spends even more time trying to protect the meniscus you were born with. This is...

Whenever I complete a total knee arthroplasty I take a moment to appreciate the beautiful mechanical simplicity before I put my head back...

Understanding the Injury The medial meniscus root attaches the meniscus to the tibia, anchoring it within the knee. A tear at this...

Partial tears of the rotator cuff are common, especially among active adults and athletes, and often present with pain, reduced range of...

Introduction As a shoulder replacement surgeon, the question that I am asked most frequently prior to surgery is the difference between...

As men age, maintaining physical fitness becomes not only important for health but also essential for reducing the risk of injuries that...

Understanding Medial Gastrocnemius Tears Tennis Leg: A Treating Orthopedic Surgeon’s Perspective As an orthopedic surgeon, I often...

This winter season (or at least as close to winter as we seem to get in California) seems like the perfect time to talk about perhaps the...

In recent years, radiofrequency ablation of the genicular nerves has emerged as a promising and minimally invasive technique to manage...

I am willing to bet that ever since the first Homo Sapien rose up to peer over the swaying grass of the African plains that shortly...

As an orthopedic surgeon invested in providing the best possible outcomes for my patients, the decision to transition from manual...

Calcific tendonitis, also known as calcific tendinopathy or calcifying tendinitis, is a condition characterized by the formation of...