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David Gonzalez, MD, Clinical Assistant Professor of Surgery, Albert Einstein College of Medicine, Director, Shoulder Service and Sports Medicine, Central Bronx Orthopaedic Group, Bronx, New York

Chair; Evan F. Ekman, MD, Director, Southern Orthopaedic Sports Medicine, Medical Director, Palmetto Health Alliance and Parkridge Surgery Center, Columbia, South Carolina

Carl J. Basamania, MD, FACS, Assistant Professor of Surgery, Division of Orthopaedic Surgery, Duke University, Chief, Orthopaedic Surgery Service, Durham Veterans Affairs Medical Center, Durham, North Carolina

Clarence L. Shields, Jr, MD, Private Practice, Kerlan-Jobe Orthopaedic Center, Associate Clinical Professor of Orthopaedics, University of Southern California, Los Angeles, California

J. Richard Steadman, MD, Principal, Steadman Hawkins Clinic, Steadman-Hawkins Sports Medicine Foundation, Vail Colorado

Despite a number of advances in surgical techniques, orthopaedic materials technologies, and basic sciences, a number of clinical controversies remain regarding the ideal approach to the surgical management of patients with joint pain. Much debate exists with regard to surgical approach for rotator cuff repair as well as graft source in anterior cruciate ligament reconstruction. In addition, recent evidence now implicates the presence of a humoral pain signaling mechanism capable of transmitting signals of surgical tissue injury even in the presence of nerve blocks, local, and general anesthesia typically used during the perioperative period. This activity is designed with a case-based, interactive debate format to assist orthopaedic surgeons to improve the management of patients with joint disease requiring surgery.

Upon completion of this activity, the participants should be able to:

Assess different surgical approaches for rotator cuff repair Review and evaluate graft source in anterior cruciate ligament repair Discuss the evolving understanding of the mechanisms involved in postoperative pain Evaluate the influence of ‘opioid-sparing’ on functional outcomes

Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Albert Einstein College of Medicine designates this educational activity for a maximum of 2 Category 1 Credits toward the AMA Physician’s Recognition Award. Each physician should claim those credits that he/she actually spent in the educational activity.