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Jun 11 - Jun 13, 2025

42nd Annual Shoulder Course: Arthroscopy, Arthroplasty, Fractures

Coronado, CA

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Location

1500 Orange Ave, Coronado, CA 92118

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Description

San Diego Shoulder Institute (SDSI) began as an informal physician educational gathering in 1983. Having a passion to educate and improve patient care, James C. Esch, M.D. brought together a small group of San Diego, California- based orthopaedic surgeons. The initial group assembled as peers interested in perfecting arthroscopy skills in a case study format. The value of the sessions grew quickly in popularity and expressed interest. Within a few years, Dr. Esch began hosting the meeting as an annual formal CME event and eventually expanded to a four-day course. Course content also expanded to include arthroplasty, fracture management, surgical techniques, and rehabilitation. The educational format expanded to include lectures, model laboratories, cadaver laboratories, case study presentations, and workshops. Attendees began to come from International settings, bringing course attendance from 10 to an annual average of 400. In 2005, Dr. Esch formulated a Board of Directors and transitioned San Diego Shoulder Institute to a 501 (c)3 medical education organization. In that same year, SDSI applied for and received authorization to be an accredited provider from the Accreditation Council for Continuing Medical Education (ACCME).

Throughout the years, SDSI’s reputation as a stellar educational provider has continued to expand. Evaluative feedback confirms that SDSI is “the best shoulder course in the world”. Our Board consistently integrates best researched-based practice with expert faculty to continue to offer the leading shoulder course available.

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Course chairs

Orthopaedic Surgeon - Sports Specialty

Orthopaedic Surgeon - Academic

Wake Forest Baptist - Atrium Health

Orthopaedic Surgeon - Shoulder & Elbow Specialty

Orthopaedic Surgeon - Private

Orthopaedic Surgeon - Shoulder & Elbow Specialty

Orthopaedic Surgeon - Private

Atlantis Orthopaedics - Palm Beach Gardens

Faculty and Moderators

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Map

1500 Orange Ave, Coronado, CA 92118

06.30AM - 07.25AM
Visit Exhibits - Breakfast
07.30AM - 07.32AM
Welcome and Introductions
07.32AM - 08.12AM
Anatomic TSA: Concepts
MOD: ,
07.32AM - 07.40AM
Pyrocarbon Hemiarthroplasty: Its Kind of a Big Deal
07.40AM - 07.48AM
Augmented Glenoids: Why Should I be Using Them?
07.48AM - 07.56AM
Inset / Inlay / Round / Platform Glenoids: Cool Plastic
07.56AM - 08.04AM
The Limits of Anatomic Arthroplasty
08.04AM - 08.12AM
Stemless, Short Stem or Full Length Stems for Anatomic Arthroplasty: I’ll Tell You When to Use Which
08.12AM - 09.30AM
Anatomic TSA: Techniques
08.12AM - 08.17AM
Deltopectoral Exposure: Step by Step
08.17AM - 08.22AM
Subscapularis Sparing Arthroplasty: Worth the Eff ort
08.22AM - 08.27AM
LTO and Repair: Solid as a Rock
08.27AM - 08.32AM
08.32AM - 08.37AM
08.37AM - 08.42AM
It’s the Ovoid Head! How and Why This Works Better
08.42AM - 08.47AM
Stemless: How to Nail this Operation and Get the Sizing Right
08.47AM - 08.55AM
Anatomic TSA: Techniques Q&A
08.55AM - 09.14AM
Case Presentations: Anatomic TSA
09.14AM - 09.15AM
09.15AM - 09.30AM
Keynote Lecture #1: The Mayo Database for Shoulder Arthroplasty: What Have We Learned?
09.30AM - 10.00AM
Visit Exhibits - Refreshments
10.00AM - 10.33AM
Reverse Shoulder Arthroplasty: Concepts
MOD: ,
10.00AM - 10.08AM
Current Trends: What Do the International Registries Tell Us?
10.08AM - 10.16AM
Golden Rules for rTSA in 2025: The Limits of Off the Shelf Implants
10.16AM - 10.24AM
AI Assesment of the Shoulder: Is it The Future of Preop Planning?
10.24AM - 10.33AM
Inlay, Onlay: Is There a Diff erence? Biomechanicial Consequences of Surgical Decisions
10.33AM - 11.00AM
Reverse Shoulder Arthroplasty: Execution
10.38AM - 10.43AM
10.48AM - 10.53AM
10.53AM - 11.00AM
Reverse Shoulder Arthroplasty: Execution Q&A
11.00AM - 12.00PM
Reverse Shoulder Arthroplasty: Techniques
11.00AM - 11.05AM
11.05AM - 11.10AM
11.10AM - 11.15AM
BYO Augment on the Go: Re-Live
11.20AM - 11.30AM
Reverse Shoulder Arthroplasty: Techniques Q&A
12.00PM - 01.00PM
Industry Non-CME Lunch Session
01.00PM - 01.48PM
Complications of Arthroplasty: Concepts
MOD:
01.00PM - 01.08PM
Results and Complications Diff er Based on Diagnosis and Demographics: Predicting Results
01.08PM - 01.16PM
Painful Reverse Workup: The Basics and Unusual Sources
01.16PM - 01.24PM
Reverse Instability: Algorithm for Treatment and When to Bail
01.24PM - 01.32PM
Acromial Fracture Update: The Monster Under the Bed - How and Why do they Occur?
01.32PM - 01.40PM
Infections: C. Acnes is Everywhere!
01.40PM - 01.48PM
One Stage vs Two Stage for Infection: Debating Myself
01.48PM - 03.00PM
Complications of Arthroplasty: Techniques
01.48PM - 01.53PM
How to Fix an Acromial / Scapular Spine Fracture
01.53PM - 01.58PM
How I Wash Out an Infection Properly For a 1 Stage Revision
01.58PM - 02.03PM
The Salt Lake Special: How To Do the Bob T
02.03PM - 02.10PM
Complications of Arthroplasty: Complication Techniques Q&A
02.10PM - 02.44PM
Case Presentations: Complication Identifi cation and Management
02.44PM - 02.45PM
Keynote Lecture #2: Introduction
02.45PM - 03.00PM
Keynote Lecture #2: Unmet Needs in Shoulder Arthroplasty: Where Are We Going?
03.00PM - 03.30PM
Visit Exhibits - Refreshments
03.30PM - 05.00PM
SPECIAL WEDNESDAY AFTERNOON BREAKOUT SESSIONS
Convertible Revisions From Anatomic? Does This Even Work?
Management of Complex Instability: What to Do for the Toughest Cases?
Metal Glenoid Options for When Off The Shelf Implants are Not an Option: What’s Out There?
Post Traumatic Arthropathy: Sneaky Hard Surgery
Revision Arthroplasty: Techniques
Technique: APC for Humeral Defi ciency
Technique: Bone Graft for Massive Glenoid Defi ciency
Technique: Custom Glenoid Megaprosthesis
Technique: Megaprosthesis / HRP for Humeral Defi ciency
05.00PM - 07.00PM
Chairman’s Reception and Technological Demonstrations
06.30AM - 07.25AM
Visit Exhibits - Breakfast
07.30AM - 08.50AM
Rotator Cuff Part 1: The Rotator Cuff Tears
MOD: ,
07.31AM - 07.39AM
Rotator Cuff Repair: The History & Evolution
07.39AM - 07.47AM
Transtendon PASTA Repair: A Lost Art
07.47AM - 07.55AM
Partial Thickness Tears: When I Augment and How I Decide
07.55AM - 08.03AM
Double Row Rotator Cuff Repair: When You Must Use & How I Make It Cost Effective
08.03AM - 08.11AM
Biologics Improve Rotator Cuff Healing: Fertilizer, Fortification, or Fiction?
08.11AM - 08.19AM
Technique: How I Recognize and Repair Delaminating Rotator Cuff Tears
08.19AM - 08.27AM
Data-Driven Tips to Optimize Rotator Cuff Healing
08.50AM - 09.30AM
Rotator Cuff Part 2: Subscapularis and Biceps
MOD: ,
08.51AM - 08.59AM
Biceps Tenodesis: Does Fixation Type or Location Even Matter?
08.59AM - 09.07AM
Don’t Miss Them! How I Identify and Repair Partial Subscapularis Tears
09.07AM - 09.15AM
Anterosuperior Tears: My Sequence and Tips for Arthroscopic Repair
09.15AM - 09.22AM
When to Perform Tendon Transfer for Subscapularis Insufficiency and How I Do It
09.22AM - 09.30AM
Audience Q & A
09.30AM - 10.00AM
Visit Exhibits - Refreshments
Rotator Cuff Part 3: Massive and Failed Rotator Cuff Tears
MOD:
10.01AM - 10.09AM
Re-Live: All My Tricks to Achieve a Complete Repair
10.09AM - 10.17AM
When and How I Use the Biceps to Augment Massive Tears
10.17AM - 10.25AM
SCR: When I Do It and My Pearls to Make It Easier
10.25AM - 10.33AM
Biologic Tuberoplasty Works for Massive Tears and This is How I Do It
10.33AM - 10.41AM
To Balloon or Not to Balloon: The Latest Evidence on When to Use and How I Do It
10.41AM - 10.49AM
Is Lower Trapezius Transfer the New Standard? My Technique in 2025
10.49AM - 10.57AM
When is RSA the Best Option for a Massive Tear? How I Decide
11.19AM - 11.20AM
11.20AM - 11.35AM
Keynote Lecture #3: Natural History of Rotator Cuff Disease: Refining Surgical Indications for Degenerative Cuff Tears
11.35AM - 12.00PM
BEST ROTATOR CUFF TECHNIQUE: MY WAY OR THE HIGHWAY... “WINNER TAKE ALL” COMPETITION
11.36AM - 11.40AM
Arthroscopic Anchorless Transosseous Repair: Back to The Basics
11.40AM - 11.44AM
Dermal Augmentation: Add a Layer
11.44AM - 11.48AM
Biceps Augmentation: Smash It and Forget It
11.48AM - 11.52AM
Synthetic Scaff old: Onlay, or Occasionally Inlay
11.52AM - 11.56AM
Interpositional Graft: Go To the Enthesis
11.56AM - 12.00PM
AUDIENCE VOTES NOW and TROPHY PRESENTATION!
12.00PM - 01.00PM
Industry Non-CME Lunch Sessions
01.00PM - 01.33PM
Complex Rotator Cuff Tears
MOD:
01.02PM - 01.08PM
Why Rotator Cuff Tear Patterns Matter and How I Assess
01.08PM - 01.14PM
Pseudoparalysis, Pseudoparesis, Pseudo-Confused on What This All Means
01.14PM - 01.20PM
Why Rotator Cuff Tears Fail?
01.20PM - 01.26PM
My Pearls for a Tension-Free Repair of the Massive Rotator Cuff Tear
01.26PM - 01.33PM
Audience Q&A
01.33PM - 02.25PM
Shoulder Instability
MOD: ,
01.34PM - 01.40PM
DEBATE: First Time Shoulder Dislocation: Fix It Now!
01.40PM - 01.46PM
DEBATE: First Time Shoulder Dislocation: A Patient-Centered Approach
01.46PM - 01.52PM
On Track, Off Track, Near Track: How to Measure and When It Matters
01.52PM - 01.58PM
Add the Remplissage: Here’s Why and How to Make it Simple
02.25PM - 03.00PM
Open Shoulder Session: Can’t See, Can’t Do...This is How I Do It! (Back to the Future!)
MOD: , ,
02.26PM - 02.31PM
Re-Live: Open Bankart & Capsular Shift
02.31PM - 02.36PM
Re-Live: Open HAGL Repair
02.36PM - 02.41PM
Re-Live: Glenohumeral Ligament Reconstruction, Open or Arthroscopic
02.41PM - 02.46PM
Re-Live: Anterior Glenoid Bone Block
02.46PM - 02.51PM
Re-Live: Posterior Glenoid Bone Block
02.51PM - 02.56PM
Re-Live: When All Else Fails... Arthrodesis
02.56PM - 03.00PM
Audience Q&A
03.00PM - 03.30PM
Visit Exhibits - Refreshments
03.30PM - 05.00PM
SPECIAL THURSDAY AFTERNOON BREAKOUT SESSIONS
06.30AM - 07.25AM
Visit Exhibits – Breakfast
07.30AM - 09.30AM
Instability Part 1: Anterior Instability from Common to Complex
MOD: , ,
07.31AM - 07.39AM
Anterior Shoulder Stabilization: The Origin Story & Evolution
07.39AM - 07.47AM
The Art and Science of the Contemporary Bankart Repair
07.47AM - 07.55AM
When Is the Isolated Bankart Repair NOT Enough?
07.55AM - 08.03AM
Re-Live: My Roadmap to Success with Bony Bankart Repair
08.03AM - 08.11AM
My Indications and Technique for Hill-Sachs Grafting
08.11AM - 08.15AM
Moderator Questions for Speakers
08.15AM - 08.23AM
Don’t Be Afraid: My Advice and Key Tips for Transitioning to Arthroscopic Latarjet
08.23AM - 08.31AM
Latarjet Dilemmas: Managing Failure and Post-operative Complications
08.31AM - 08.39AM
Arthroscopic Free Bone Blocks are the Future: Just Do It! Here’s How
08.39AM - 08.47AM
Alternative Fixation Strategies with Arthroscopic Bone Augmentation
08.47AM - 08.48AM
Keynote Lecture #4: Introduction
08.48AM - 09.03AM
Keynote Lecture #4: The Lost Art of the Physical Exam for the Unstable Shoulder
09.30AM - 10.00AM
Visit Exhibits - Refreshments
10.00AM - 11.00AM
Instability Part 2: Posterior and Unusual Instability Patterns
MOD: ,
10.01AM - 10.09AM
Surgical Pearls and Avoiding Pitfalls When Treating Posterior Instability
10.09AM - 10.17AM
Posterior Glenoid Bone Loss: How Much is Too Much and What to Do
10.17AM - 10.25AM
HAGL and RHAGL: How Not to Miss and My Repair Techniques
10.25AM - 10.33AM
Technique: Arthroscopic McLaughlin Procedure & Other Solutions for the Reverse Hill Sachs LesionMDI: Who Needs Surgery and What I Do to Stabilize
10.33AM - 10.41AM
MDI: Who Needs Surgery and What I Do to Stabilize
10.41AM - 11.00AM
Case Presentations: Posterior and Unusual Instability Patterns
11.00AM - 11.20AM
RAPID-FIRE INSTABILITY DEBATES: “WINNER TAKE ALL” COMPETITION
MOD: , ,
11.00AM - 11.04AM
My Bankart Repair: Knotless
11.04AM - 11.08AM
11.08AM - 11.12AM
My Bone Block Augmentation: Coracoid
11.12AM - 11.16AM
My Bone Block Augmentation: Distal Tibial Allograft
11.16AM - 11.20AM
AUDIENCE VOTES NOW and TROPHY PRESENTATION!
11.20AM - 01.00PM
The Overhead Athlete in 2025: Diagnosis and Management
MOD: , ,
11.21AM - 11.29AM
Evaluation of the Symptomatic Throwing Shoulder from a Physical Therapist’s Perspective
11.29AM - 11.37AM
11.37AM - 11.45AM
How to Identify SLAP Tears in Overhead Athletes and When/How I Repair
11.45AM - 11.53AM
UPDATE: Latest Evidence on Biceps Tenodesis for SLAP Tears in Athletes
12.00PM - 01.00PM
Industry Non-CME Lunch Sessions
01.00PM - 02.03PM
Proximal Humerus Fractures
MOD: , ,
01.01PM - 01.09PM
Pro: ORIF with Plates and Screws +/- Fibular Graft is the Obvious Answer
01.09PM - 01.17PM
Pro: Nail This Fracture: Faster and Less Invasive
01.17PM - 01.25PM
Pro: Why Fight? Just Do A Primary RSA
01.25PM - 01.33PM
How I Manage Failed Proximal Humerus Fixation
01.33PM - 01.41PM
Displaced Greater Tuberosity Fractures: When and How I Fix Arthroscopically
02.03PM - 02.58PM
AC Separations and Clavicle Fractures
MOD: , ,
02.04PM - 02.12PM
Chronic High-Grade AC Separations: My Technique and Why I Do It This Way
02.12PM - 02.20PM
AC Joint Catastrophes: How to Prevent and Salvage
02.20PM - 02.28PM
UPDATE: Which Mid-Third Clavicle Fractures Should Be Fixed and How I Do It
02.28PM - 02.36PM
Lateral Clavicle Fractures: Which Ones Should be Stabilized and How
02.36PM - 02.44PM
Re-Live: Sternoclavicular Joint Reconstruction
02.58PM - 03.30PM
Worst Case Scenario: How I Managed and What I Learned
MOD: , ,
03.00PM - 03.05PM
03.05PM - 03.10PM
#2 Intra-Articular Glenoid Fracture
03.10PM - 03.15PM
03.15PM - 03.20PM
#4 Locked Dislocation with Neurologic Involvement
03.20PM - 03.27PM
DISCUSSION and AUDIENCE VOTES NOW ON MOST INSTRUCTIVE CASE
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