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LIFESTYLE

Shoulder Surgery with In this article we want to focus on one

a Renowned Expert
of those considered a spearhead in
shoulder surgery, Dr. Laurent Lafosse;

his surgical skills and his ideas leave
no one indifferent and his experience

and innovative thinking contribute to
pushing shoulder surgery always a
little further. He currently practices in

Gonzalo Samitier, MD, PhD
“Clinique Generale”, an efficient private
Fellow at Alps Surgery Institute (ASI), Laurent Lafosse, MD, hospital in the city of Annecy, a scenic
Clinique Generale–Annecy, FRANCE
FRANCE
jewel of the French-Alps; he partners
with two other shoulder surgeons, Drs. Bruno Toussant and

Jerome Bahurel. At any time, the Alps Surgery Institute has
3 to 6 selected fellows that they incorporate to the team

Contributors:
for periods of 3 months to 1 year; they are attracted to the
high volume and complexity of the procedures to which they
(current and recent former Fellows at ASI):
Thomas J. Christensen, MD2
are exposed; surgeons from all over the world come to visit
or assist in any of the different courses throughout the year
Ruth A. Delaney, MD3
at the Institute, making it a constant cultural and scientific
Simon J. Fogerty Dip SEM (UK), FRCS (Tr&Orth)4
exchange core.
Ashis Gupta, MD1
“Innovative shoulder
Kalojan Petkin, MD1
surgery at its best”
Stephen A. Parada, MD3
Claudio Rosso, MD, MSc5

1 Alps Surgery Institute (ASI), Clinique Generale–Annecy, France –Claudio Rosso
2 Reno Orthopaedic Clinic. Reno, NV, USA
3 Harvard Shoulder Service/Brigham and Women’s Hospital,
Dr. Lafossés scientific work in shoulder surgery is extensive

Boston, MA, USA
and well represented in the literature. Some of his most well-
4 Calderdale and Huddersfield NHS Foundation Trust,
known contributions are: his approach to shoulder instability
West Yorkshire (UK)
as the pioneer in all-arthroscopic Latarjet, his management of
5 University Hospital of Basel (Switzerland)
complex cuff tears using the lasso loop stitch, arthroscopic
brachial plexus releases and his multiple approaches for
Introduction
shoulder arthroplasty.
The next ISAKOS meeting will be held in Lyon (France), a
vibrant metropolis which makes the most out of its unique The aim of this article is to focus on two common surgical
conditions of the shoulder and to offer different treatment
architectural, cultural and gastronomic heritage. Nothing
else has to be said, France is one of the most attractive options frequently performed at our institution. The text is
destinations in the world, and it is easy to get lost in its pride, sprinkled with former ASI fellowś comments about their

mastery and sophistications.
training at the Shoulder Institute; Dr. Gupta and Dr. Petkin,
current fellows also contributed to reviewing and optimizing
It is well known that France has made great contributions in our
field and specifically, the French school has a solid reputation the scientific content of this report. Special thanks to Stephen
Parada who has described the “y” shape biceps tenotomy in
in shoulder surgery; most of us are familiar with terms such as detail and former fellows in general as some of his previous
Latarjet, Grammont reverse shoulder arthroplasty, Goutallier
work was used to build this article.
classification among many others terms, and those involved
in shoulder surgery have numerous examples in past and 1. Treatment Options for the Long Head

current scientific literature.
of the Biceps Tendo

Shoulder pain is often of a multifactorial etiology; it can include
pathology of the long head of the biceps tendon. This tendon
inserts as an intra-articular structure. Biceps pathology is

commonly associated with pathology of the rotator cuff and/
or superior labrum. The mainstay of operative treatment is

either a tenotomy or some type of tenodesis. Cosmesis
and potential changes in strength or biceps muscle cramps

is a concern when biceps tenotomy is performed; biceps
tenodesis minimize this problems but implies a technically

more demanding procedure with potential implant related
problems and longer rehabilitation.

Next we describe two surgical options to solve efficiently
proximal long head of the biceps pathology; surgeons could

10 ISAKOS NEWSLETTER 2014: Volume II
01
include them on their therapeutic arsenal.