AANA25 Non-Scientific Access Pass-GENERAL SESSION: AANA Legends (Main Stage)

Video Transcription

Video Summary

Dr. Jeffrey S. Abrams and Dr. John M. Tokish introduce a tribute to pioneering figures in shoulder arthroscopy, highlighting the profound impact of Steve Snyder, Jim Esch, and Steve Burkhardt—nicknamed the "three amigos"—who trailblazed this surgical field without prior maps. They developed foundational techniques, instruments, and education programs that shaped modern arthroscopic shoulder surgery. <br /><br />The discussion recalls early days with rudimentary tools and lectures, emphasizing how these surgeons innovated arthroscopic methods while overcoming skepticism. Dr. Esch launched the influential San Diego Shoulder Institute course, evolving from cadaver dissections and informal meetings to a premier global educational event. Dr. Snyder, trained at Mayo Clinic, challenged traditional open surgery with biomechanically sound arthroscopic repairs, collaborating closely with industry to develop new instruments when companies were initially reluctant. Dr. Burkhardt’s inventive spirit built critical tools and protocols, contributing to techniques now fundamental in the field.<br /><br />They reflect on decades of progress, including recognition of bone loss, labrum repair evolution, and challenging cases like failed Bankart repairs. The speakers honor their military service and emphasize mentorship, innovation balanced with caution, and the importance of personal support systems. The session closes encouraging young surgeons to embrace new technologies selectively and to cultivate relationships that sustain long careers. The pioneers are celebrated as foundational heroes whose work continues to guide and inspire the shoulder surgery community globally.

Asset Caption

Moderators: Jeffrey S. Abrams, M.D., John M. Tokish, M.D., FAANA
Stephen S. Burkhart, M.D. | James C. Esch, M.D. | Stephen J. Snyder, M.D.

Keywords

shoulder arthroscopy

Steve Snyder

Jim Esch

Steve Burkhardt

San Diego Shoulder Institute

arthroscopic techniques

shoulder surgery pioneers