What would you do? Challenges in shoulder surgery

The treatment of glenohumeral joint disorders presents a challenge to the orthopedic provider. The adept shoulder surgeon must be facile with the management of both primary and complex shoulder pathologies. The cases presented are represented for their complexity and to present management principles that are fundamental to appropriate treatment of both simple and complex glenohumeral diseases. Furthermore, these cases are presented in the light of complex decision making regarding arthroplasty and the older active patient.