BESS Copeland Travelling Fellowship to India 2019
25th March, 2019 Category: Latest News

As President of the British Elbow and Shoulder Society, I have returned recently from a 16 day tour of India.

The Copeland Fellowship was established following the death of Mr Steve Copeland, a founding member of the British Elbow and Shoulder Society, a past President and my good friend.

The fellowship is an aspirational international fellowship aimed at members of the Society who have an established or emerging national/international reputation.

The fellowship requires successful applicants to travel with the President of the Society at some pint in his/her 2-year tenure, to promote the Society and our Shoulder and Elbow Journal. In addition, the Fellows act as ambassadors for the Society helping to develop international links.

India was an obvious choice of destination as there is much common ground between orthopaedics in India and the United Kingdom. Long established links have resulted in many Indian surgeons acquiring their specialist orthopaedic training in the United Kingdom and this is particularly the case in Liverpool.

As President, I was accompanied by Mr Mark Falworth (Consultant Orthopaedic Surgeon at the Royal National Orthopaedic Hospital Stanmore), Mr Cormac Kelly (Consultant Orthopaedic Surgeon at the Robert Jones and Agnes Hunt Hospital Oswestry), Mr Vijay Bhalaik (Consultant Orthopaedic Surgeon at Arrowe Park Hospital Liverpool) and Mr Marcus Bateman (Specialist Physiotherapist at The Royal Derby Infirmary) as well as my wife, Georgina and Mr Kelly’s wife, Ann.

We departed the United Kingdom on 27 February 2019, arriving at our hotel in Delhi at 5am on 28 February 2019.

I believe that we all managed around 3 hours of sleep before we were collected at 8:30am by Dr Matthew Varghese. This early start and long day was the harbinger of things to come, as the pace was relentless throughout our visit.

Dr Varghese is the medical director at St Stephens Hospital in Delhi. Dr Varghese runs India’s only polio ward. Bill Gates, the founder of Microsoft, recently wrote about Dr Varghese in his blog – Gates’ Notes, calling him one of the five persons in the world who he thinks is a real life hero.

Dr Varghese is highly respected both nationally and internationally and as a result of his standing he was able to arrange a personal invitation for the BESS Copeland Fellows to take tea at the Indian President’s Palace in Delhi. As part of the invitation, the fellows were afforded a private tour of the palace and its grounds.

Dr Varghese and his colleague’s hosted dinner on the first night and the following morning saw an early start and an interesting ride on the Delhi subway system from our hotel to St Stephens Hospital.

The subway system is surprisingly modern and outside of rush hour to be recommended.

Dr Varghese greeted us at St Stephens Hospital and we began with a tour of the hospital and the orthopaedic wards. During the visit, we saw a wide variety of orthopaedic conditions and all of the fellows were humbled by the high quality of the work being carried out by Dr Varghese and his colleagues, as well as the complexity of the surgery involved, particularly in view of the number of severe trauma cases and longstanding polio cases.

After the ward round we joined our first Conference to which orthopaedic surgeons from the Delhi region had been invited. There were presentations from both the Indian and UK teams.

Mr Brownson gave a presentation on the management of shoulder instability in athletes.
The meeting concluded with Mr Brownson presenting Dr Varghese with a certificate to mark the joint meeting of the British Elbow and Shoulder Society with St Stephens Hospital.

After our visit to St Stephens we travelled across the City to our second Conference. From 1 March to 4 March 2019, the Copeland Fellows participated in a joint meeting with the International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA). ISKSAA has a membership of over 1500 surgeons, specialising in orthopaedic surgery. This was the 13th international congress and was held in collaboration with the BESS Copeland Fellows and the Shoulder and Elbow Society of India.

The meeting attracted over 400 delegates. There were three parallel sessions running throughout the two days.
Dr Pushpinder Bajaj, ISKSAA President, and Dr Lalit Maini, ISKSAA Chairman opened the meeting. Mr Brownson was invited to initiate the meeting by lighting the ceremonial candle before he gave a presentation introducing the Copeland Fellows.

During the meeting, there was a combination of lectures, live surgery demonstrations, re-live surgery demonstrations, as well as discussion groups.

Mr Brownson presented on the ‘BESS Guidelines for the Management of Traumatic Shoulder Dislocation’. He gave further lectures on ‘When and How to do a SLAP Repair’ as well as presenting re-live surgery videos on arthroscopic Bankart repair and superior capsular reconstruction for massive rotator cuff tears. In addition, he took part in various case discussions as part of an expert panel.

The meeting concluded with presentations of commemorative certificates to Dr Bajaj, Dr Maini and Dr Easwaran.

After completing our presentations at the 13th International Congress of ISKSAA, the fellows took the opportunity to visit Agra and the Taj Mahal. Travelling involved a train journey to Agra before returning to Delhi by road on the following day.

Our next journey involved a flight to Aurangabad. From our base in Aurangabad, we visited two world heritage sites, the first being the Buddhist temples and cave paintings at Ajanta before driving to Pune the following day, stopping off on the way at the rock temple/cave complex in Ellora.

The cave paintings in Ajanta were carried out in approximately the second century BCE and show a complexity, in terms of depth of perspective and realism that was not seen in European art until the 16/17th century.

The temple at Ellora is a remarkable feat of human achievement, as it is a monolith temple, carved out of the solid granite mountainside using only hand chisels in approximately 600-1000 CE.

In Pune, we attended our third conference which was the first joint BESS /SESI (British Elbow and Shoulder Society and Shoulder and Elbow Society India) meeting and it focused on shoulder and elbow arthroplasty. The meeting was held over two days and involved presentations from both Indian surgeons as well as the Copeland Fellows. The whole breadth of shoulder and elbow arthroplasty was covered.

The meeting was hosted by Dr Ashish Babhulkar a founding member of SESI and its first President who now works at the Deenanth Mangeshkar Super speciality Hospital where the meeting was based.

Mr Brownson once again introduced the Copeland Fellows and the idea of the Copeland Fellowship to the audience before presenting on the long-term results of The Equinoxe Shoulder Arthroplasty, as well as the structuring and maintaining of shoulder arthroplasty register.

There were several case based discussions on the management of elbow pathology, as well as a debate on the management of proximal humeral fractures centred around the BESS supported ProPHER study, published in The Journal of the America Medical Association in 2015.

During the meeting, Mr Brownson presented a Presidential medal to Mr Ashish Babhulkar, founding member and first president of the Shoulder and Elbow Society of India. The medal was based on the British Elbow and Shoulder Society Presidential medal and was a gift from the members of the British Elbow and Shoulder Society to the Shoulder and Elbow Society of India and was given in the spirit of “Learning together”.

Dr Babhulkar then presented the medal to the current SESI President Dr Ram Chidambaram.

SESI is a relatively new but rapidly growing society and it is hoped that soon the Shoulder and Elbow Society of India will become affiliated to the British Elbow and Shoulder Society to further strengthen our links.

After the conclusion of the meeting in Pune, the Fellows caught an internal flight to the city of Chennai (Madras). The meeting in Chennai was held in association with the indo-British health initiative and the MIOT International Hospital. This was a two-day meeting focusing particularly on elbow pathology and unusually, for a meeting in India, it was held during the week (most meetings are held during the weekends, in order to limit surgeon’s time away from clinic and the operating theatres).

The meeting was very well attended with over 350 delegates.

The meeting began with a presentation by the British Deputy High Commissioner (Mr Jeremy Pilmore-Bedford), during which time he unveiled the British Elbow and Shoulder Guidelines produced by the British Elbow and Shoulder Society, specifically to coincide with the Copland Fellows visit to India. The Indo British Health Initaitive were represented by Dr Prithvi Mohandas (Founder and secretary IBHI).The guidelines contained the BESS care pathways and procedure guidelines for common shoulder and elbow conditions. The meeting was attended by the national press and photographs of the opening ceremony appeared in several Indian national daily newspapers.

During the meeting, Mr Brownson took part in various case discussions, as well as giving presentations on the British Elbow and Shoulder Society guidelines for the management of traumatic shoulder instability, as well as the British Elbow and Shoulder surgical procedure guidelines on elbow arthroplasty.

At the conclusion of the meeting, Mr Brownson was honoured to be awarded lifelong honorary membership of the Shoulder and Elbow Society India by Dr Ram Chidambaram in recognition for his work in bringing the Copeland Fellows to India and his work to develop links between the Shoulder and Elbow Society of Indian and the British Elbow and Shoulder Society.

The visit to India was highly enjoyable if somewhat arduous, in that each of the Copeland Fellows was required to prepare approximately 15 presentations relevant to the field of Shoulder and Elbow Surgery, as well as taking part in all the relevant discussion groups and expert panels.

The Fellows were humbled by the generosity of their Indian colleagues, as well as by the high quality of the meetings attended.

The Fellows left India with huge respect for the Shoulder and Elbow Surgeons in India, particularly taking into account the often late presentation of patients.

It is hoped that this visit will strengthen the relationships between Shoulder and Elbow Surgeons in Britain and India and will lead to further joint projects and meetings.

BESS Patient Pathways released to SESI
13th March, 2019 Category: Latest News

The British Elbow and Shoulder Society’s (BESS) Patient Care Pathways, which are surgical procedure guidelines for conditions involving the shoulder and elbow, was released for members of the Shoulder and Elbow Society of India (SESI).

Jeremy Pilmore-Bedford, British Deputy High Commissioner (Chennai), released the guidelines during the ‘IBHI-Elbow Conclave 2019’ conducted at MIOT International on Tuesday. Prithvi Mohandas, managing director of MIOT International, and Peter Brownson, president of BESS, were present.

“BESS developed the guidelines by collecting available evidence and conducting trials. Now, they have agreed to us using their content, and we have released a booklet on the guidelines,” Ram Chidambaram, director, MIOT Centre for Sports Medicine, Shoulder and Upper Limb Surgery and president of Shoulder and Elbow Society of India (SESI), told reporters. SESI has 300 orthopaedicians across the country as its members.

The collaboration with BESS would help in bringing in advancements in the field, knowledge sharing, exchange of ideas, research and support, Mr. Chidambaram said, adding: “The guidelines will help in practising transparent medicine.”

The Elbow Conclave was organised by the Indo-British Health Initiative in association with BESS and SESI focussed on specialities in orthopaedics.

BESS visit to the Shoulder and Elbow Society of India
14th February, 2019 Category: Latest News

Under the guidance of current BESS (British Elbow and Shoulder Society) Mr Peter Brownson, three Surgeon members and one AHP member will travel to India next month as part of the Copeland fellowship, an initiative set up in memory of a founding member of BESS, Mr Steve Copeland.

In Delhi, the fellows will take part in a combined meeting with the International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA). The theme of this meeting will be sports injuries and trauma of the shoulder and elbow. In Pune, the fellows will take part in a meeting organised by the Shoulder and Elbow Society of India (SESI). The theme will be arthroplasty of the shoulder and elbow.

Boston Shoulder and Sports Injury Symposium 1-3 November 2018
26th November, 2018 Category: Latest News

Recently, Mr Brownson was invited as an international guest speaker at the Boston Shoulder and Sports Injury Symposium. This prestigious course has been running for approximately 20 years and has an international reputation.

Mr Brownson was asked to present on the management of shoulder instability in elite athletes. In addition, he took part in expert panel discussions relating to athletes sustaining SLAP tears and rotator cuff injuries.

Mr Brownson was happy to be reunited with some of his colleagues from the United States including his friend Dr John Richmond, who first visited Mr Brownson to take part in the Liverpool Advanced Shoulder Arthroscopy Course nearly 20 years ago and Dr Brian Busconi who is one of the Team Physicians for the Red Socks baseball team.

Mr Brownson honoured to have been elected as a new member of the American Shoulder and Elbow Surgeons (ASES)
16th August, 2018 Category: Latest News

Mr Peter Brownson, MD FRCS ED, owner of the Liverpool Shoulder Clinic and partner at The Bone and Joint Centre was delighted and honoured to have been elected to become a member of ASES (the American Shoulder and Elbow Surgeons) in July of this year.
ASES was created to enhance the study of shoulder and elbow surgery and to foster advances in the field, serving as an educational body responsible for scientific programs and advances.

Membership is by invitation only with nominees being sponsored by two active members of the organisation. Strict academic and clinical guidelines must be met as well as a demonstration of active involvement in scientific meetings.

“ASES are a magnificent organisation made up of the leading national and international Orthopaedic surgeons in our specialist area. With only 733 worldwide members it is an absolute privilege to be elected. I am looking forward to future meetings to discuss new ideas and of course work alongside some of the best shoulder and elbow surgeons in the world.”

The vision of ASES is to be the world leader and educator of evidence based and cost effective shoulder and elbow care.

British Elbow and Shoulder Society 30th Annual Conference Glasgow 2018
5th July, 2018 Category: Latest News

Mr Brownson has just returned from the British Elbow & Shoulder Society Conference in Glasgow. This was the 30th anniversary of the inaugural BESS meeting and fittingly, that first meeting was also held in Glasgow.

Mr Brownson is the current president of the British Elbow & Shoulder Society.

The conference began on Tuesday 19th June with the second BESS Instructional course. The theme this year was Trauma of the Shoulder and Elbow and there were several national and international guest speakers, including Mr Brownson’s guest speaker, Mr Peter Millett, from the Steadman Clinic in Vail, Colorado. The instructional course attracted 200 delegates and was the precursor for the main Conference which started on the following day.

The Conference was held in the Scottish Exhibition Centre and attracted approximately 800 delegates comprised mainly of surgeons and physiotherapists specialising in shoulder and elbow problems.

The conference commenced on Wednesday 20th June and, at the opening ceremony Mr Brownson was joined by the Deputy Lord Provost of Glasgow. Both he the Deputy Lord Provost were led into the meeting by a piper from the Scottish National Youth Pipe Band.

The Wednesday scientific sessions were followed by the BESS conference dinner, held in the Science Museum. As this was a special meeting for Society being the 30th anniversary, Mr Brownson was delighted to be joined by Professor Angus Wallace, Mr Ian Bayley, Mr Michael Watson and Mrs Jenny Copeland (wife of Mr Steven Copeland) who were the four founding members of the society. In addition they were joined by Mrs Helen Kelly (wife of Ian Kelly who was the organiser of the inaugural Glasgow BESS meeting).

In recognition of the anniversary, Mr Brownson presented a silver Quaich to each of the founding members.

The Thursday conference included a session on the history of the British Elbow and Shoulder Society. Mr Brownson gave a presentation with his vision for how the society might develop over the next 10 years.

On the Thursday evening Mr Brownson hosted the President’s Dinner, which was held at the Royal College of Surgeons and Physicians in Glasgow. Mr Brownson was joined by past and present members of BESS council, together with the local organising committee and the Society’s guest speakers.

In honour of the event, Mr Millett and his son James turned up in full Highland dress – no mean feat for 2 residents of Colorado!

The Copeland Fellowship
9th May, 2018 Category: Latest News

Under the guidance of current BESS (British Elbow and Shoulder Society) Mr Peter Brownson, three Surgeon members and one AHP member will travel to India in the Spring of 2019 as part of the Copeland fellowship, an initiative set up in memory of a founding member of BESS, Mr Steve Copeland.

The inaugural visit took place in October 2016 to South Africa where President at the time Mr Michael Thomas was joined by Mr Chris Peach and Miss Val Jones.

In Delhi, the fellows will take part in a combined meeting with the International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA). The theme of this meeting will be sports injuries and trauma of the shoulder and elbow. In Pune, the fellows will take part in a meeting organised by the Shoulder and Elbow Society of India (SESI). The theme will be arthroplasty of the shoulder and elbow.

Successful applicants will act as ambassadors of BESS and it is expected that they will take an active part in both meetings in terms of giving presentations and participating in workshops. Some of the successful applicants may be asked to prepare a review article for publication based on their area of specialist interest.

BESS will provide each successful applicant with an award of £4000 towards costs. ISKSAA and SESI have kindly agreed to cover all costs relating to meeting registration and accommodation relevant to the courses listed.

The closing date for applications is 23:59, Saturday, 19 May 2018

Shoulder 2 Shoulder meeting
24th April, 2018 Category: Latest News

Delighted to be a guest speaker at the 6th Shoulder 2 Shoulder meeting to be held at the Millbank Tower in London.

The 2018 course, aimed at consultants and fellows with an interest in shoulder surgery, is based on shoulder pathology throughout the seven different stages of life. With presentations from a number of specialists from UK and International faculty, the Watanabe Club, organisers of the event, see the format as a great way to stimulate active participation from all delegates.

I will be discussing a case study on ‘Teenage Clavicle Fracture’ as part of a comprehensive day of education and interaction.

British Orthopaedic Sports Trauma and Arthroscopy Association Lecture
11th December, 2017 Category: Latest News

pb news pic
Mr Brownson, as the President of the British Elbow and Shoulder Society was invited to give the guest lecture at the British Orthopaedic Sports Trauma and Arthroscopy Association (BOSTAA) Meeting held at the Institute of Sports Exercise and Health ,in London on the 6th December 2017.
Mr Brownson gave a 40 minute presentation on Rotator Cuff Injuries in Overhead Athletes. At the end of the lecture he was presented with a small gift by the President of BOSTAA, Mr Panos Thomas.

Arthroscopy Association of North America 2017
29th June, 2017 Category: Latest News

Peter Brownson has just returned from the Arthroscopy Association of North America (AANA) meeting in Denver USA.
He was part of delegation of UK Orthopaedic surgeons invited to put forward a British perspective and provide a counterpoint to the North American view.
The delegation was led by British Orthopaedic Association President, Mr Ian Winson and comprised a group of key opinion leaders from the UK covering all orthopaedic subspecialities.
Mr Brownson was joined by his colleagues from the Bone and Joint Centre, Mrs Jo Gibson (Specialist Physiotherapist – BESS) and Mr Chris Walker ( British Orthopaedic Foot and Ankle Society – BOFAS).


Other members of the delegation included Mr. Duncan Tennent (British Elbow and Shoulder Society – BESS), Mr. Bill Harries (President BOFAS), Mr. Andy Williams (British Association for Surgery of the Knee – BASK), Mr. Sanjeev Anand (BASK), Mr. Simon Roberts (President British Orthopaedic Sports Trauma Association – BOSTA), Mr. Sam Oussedik (BOSTA) and Mr. Matt Ravenscroft (BESS)
The UK delegates were invited to take part in the instructional course lectures, which form part of the meeting, as well as to take part in expert panel discussions. In addition, selected individuals were invited to give a “feature” lecture relating to their own area of subspeciality expertise.
The meeting proved to be highly successful. There were over 1000 attendees and the convention took place in an atmosphere where all participants felt full engaged and which, at the same time, conveyed a friendly, relaxed atmosphere that engendered excellent discussion.
The meeting commenced on Thursday May 18th with the opening ceremony during which, Dr Richmond (President AANA) introduced all of the visiting International Society Presidents attending, including Mr Brownson.


This was followed by a morning session of scientific papers relating to shoulder instability, after which there was a feature lecture on protecting the young athlete by Dr James Andrews, an American surgeon, who has extensive experience of managing young athletes, particularly those involved in baseball.

There was a second morning session, focusing on shoulder surgery relating to the management of massive rotator cuff tears, including a discussion on superior capsular reconstruction (SCR), a relatively new technique which is currently being evaluated by Mr Brownson for the management of large or massive irreparable rotator cuff tears in individuals without significant arthritis. There was a subsequent symposium, during which Mr Matt Ravenscroft (UK) presented his experience of the In Space balloon a novel device being evaluated in the UK for similar indications as the SCR.

In the afternoon there was a feature lecture by Mr Andy Williams (BASK) who is a Consultant Orthopaedic Surgeon at the Fortius Clinic and who has huge experience in the management of knee injuries, particularly in Premiership Footballers and elite athletes.

The Friday programme included a scientific session focussing on the management of biceps tendon problems. It was followed, at lunchtime, by the Presidential Guest Speaker, Major Dan Rooney.
Major Rooney gave a tremendous presentation highlighting his life’s work. He is a remarkable individual. He is a fighter pilot with three combat tours in Iraq. He is also a PGA Golf professional and the founder of the Folds of Honour, a charity based in the USA which provides educational funding for the families of bereaved servicemen. He has served as the motivational speaker for two US Rider Cup teams and is a Fox news contributor. He is a decorated military aviator and is currently stationed at Tyndall Airforce Base in Florida as a member of the 301 st fighter squadron. He is a two times recipient of the Top Gun award. His inspirational talk emphasised the importance of ‘volition’ and the need to believe in one’s ability to effect change. After the presentation, he kindly met some of the delegates including the visiting members from BESS.


The Friday afternoon session included a symposium on shoulder rehabilitation. During this session, Jo Gibson, gave a presentation on ‘Rehabilitation Tips from the United Kingdom’, focusing on her huge experience of rehabilitation of elite athletes after shoulder trauma.

On Friday evening, Dr Richmond invited the UK delegation to a private dinner. At the dinner, he thanked the UK delegation for attending and contributing to the meeting. His kind invitation, was acknowledged by Ian Winson (President BOA) who presented Dr Richmond with a signed picture from the British delegates.


The Saturday session stated with a set of instructional course lectures. During this session, Mr Brownson gave a presentation on the “Management of Posterior Shoulder Instability”.
Later, in the same morning, he and Jo Gibson gave the feature lecture of the day on the ‘Management of Instability in Elite Athletes’. This was a 25 minute joint presentation during which Mr Brownson and Mrs Gibson explained their philosophy for the management of shoulder instability as a whole, giving a particularly UK perspective, as well as explaining their philosophy for patient rehabilitation and assessment for return to play in elite athletes.
The presentation appeared to be very well received as it particularly emphasised the close working relationship between surgeon and physiotherapist and the advantages this has for the patient. Such a close working relationship is unusual in the US due to different patterns of working but is an approach very much promoted by the British Elbow and Shoulder Society.


The Friday session was completed by Mr Brownson, taking part in an expert panel discussion on ‘The Management of SLAP injuries’. He was joined on the panel, by Mr Mat Provencher, Shoulder Surgeon at the Steadman Hawkins clinic in Vail, Mr Steven Snyder, Consultant Surgeon (and the surgeon who defined the term ‘SLAP lesion’) and Mr Matt Ravenscroft (UK)


The meeting concluded with a barbeque reception hosted by Dr Richmond, during which the British delegates were introduced to ‘beanbag throwing’.aa7

Simon Roberts, Bill Harries, Jo Gibson, Ian Winson, Terry Byca (Arthrex UK) Georgina Brownson PB (left to right)