Historically, surgeons had to make large incisions in the skin and split and move the deltoid muscles to gain access to the rotator cuff. Serious and debilitating complications developed if the deltoid muscle origin did not heal back to the acromion, so surgeons now will now access the rotator cuff tear by leaving the deltoid muscle attached and simply splitting it (like ‘peeking through closed curtains’) to gain access to the rotator cuff where it attaches to the humerus. This process is ideal for tears that have not pulled back, or retracted back away from the deltoid. However, in cases of larger retracted rotator cuff tears, working through a deltoid split can become a little like building a ship in a bottle—trying to work through the narrow mouth of a bottleneck to get to the retracted cuff tissue.
The Story: In February 2005 Canseco released his autobiography and steroid tell-all, Juiced , Wild Times, Rampant 'Roids, Smash Hits, and How Baseball Got Big. In it he described himself as 'the chemist' having experimented on himself for years. He claimed to have educated and personally injected many players including Mark McGwire, Rafael Palmeiro, Juan Gonzalez, Ivan Rodriguez, and Jason Giambi. In his second book, Vindicated , Canseco added Magglio Ordonez to the list of players he had educated and injected with steroids. He also said he introduced Alex Rodriguez to a trainer/PED supplier after Rodriguez had asked where he could get steroids.