Book excerpt: Obtain optimal outcomes with masterful guidance! The Cowboy’s Conundrum: Complex and Advanced Cases in Shoulder Arthroscopy brings you step-by-step advice from preeminent orthopaedic surgeons, helping you to successfully perform even the most challenging techniques and achieve the best results. Authored by Stephen S. Burkhart, MD and his expert team of surgeons, creators of bestselling titles A Cowboy’s Guide to Advanced Shoulder Arthroscopy and The Cowboy’s Companion: A Trail Guide for the Arthroscopic Shoulder Surgeon, The Cowboy’s Conundrum brings you the collective wisdom of world authorities who have been intimately involved in pioneering and refining today’s approaches to minimally invasive shoulder surgery. Dr. Burkhart uses his trademark “cowboy” flair to communicate essential clinical pearls in an approachable and entertaining manner.