In this episode of the American Shoulder and Elbow Surgeons Podcast, Dr. Peter Chalmers and Dr. Rachel Frank conduct a review of some of the most downloaded papers in the Journal of Shoulder and Elbow Surgery from 2018. Guests include Dr. Luke Austin on pre-operative education to reduce opioid use, Dr. Mohit Gilotra on benzoyl peroxide to prevent C. Acnes infections, and Dr. Gregory Hoy on treatment of multi-directional instability.