8:00 - 11:25 AM
Concurrent Sessions
Symposia Program
8:00 - 8:45 AM
Symposium 3 & 4 (Concurrent)
Scientific Session 1
Symposium 03: Carpal Instability – What is New in 2009
Scientific Session 2
Symposium 4: Complex Elbow Fractures
9:20 - 10:05 AM
Symposium 5 & 6 (Concurrent)
10:40 - 11:25 AM
Symposium 7 & 8 (Concurrent)
1:35 - 2:20 PM
Combined Scientific Session
Symposia Program
1:35 - 2:20 PM
Symposium 9: Challenges in Management of the Nerve Gap
Friday, September 4, 2009
Symposium 03
Carpal Instability – What is New in 2009
Friday, September 4
8:00 – 8:45 AM
CO-MODERATORS
Gary M. Lourie, MD, Atlanta, GA
Melvin P. Rosenwasser, MD, New York, NY
FACULTY
Mark S. Cohen, MD, Chicago, IL
Scott H. Kozin, MD, Philadelphia, PA
William H. Seitz, MD, Cleveland, OH
Scott W. Wolfe, MD, New York, NY
OVERVIEW
It has been over 35 years since Linscheid and Dobyns introduced the concept of carpal instability to the hand surgeon. Since then, numerous authors have added to this increasingly popular but equally complex injury. Over 100 articles have been published in the english literature alone. However, only a very small percentage –less than 5% --compromise Level 1 status, with the vast majority retrospective, case series, and anecdotal reports. There have been separate exhaustive reveiws mostly published as Current Concepts and Instructional Course Lectures but confusion persists, even with classification schemes, pathologic anatomy, diagnostic evaluation, and ultimatley treatment.
EDUCATION GOAL
The treatment of carpal instability remains a challenge for the hand surgeon and therapist. The goal of this symposium is to give the clinician an up to date concise reveiw of this entity in 2009. A thorough reveiw of classification and mechanism of injury will be followed by separate talks covering the different types of instability. The conclusion will include a pointed summary with description of a useful algorithm for the participant.
PROGRAM
8:00 – 8:05 AM
Introduction
Gary M. Lourie, MD, Atlanta, GA
8:05 – 8:12 AM
Carpal Instability- Dissociative Acute Scapholunate Injuries
Carpal Instability – Dissociative Chronic Scapholunate Injuries
Mark S. Cohen, MD, Chicago, IL
8:12 – 8:19 AM
Chronic Scapholunate Injuries- Static, Fixed and Flexible
Scapholunate Advanced Collapse (SLAC) Stage I, Stage II
Melvin P. Rosenwasser, MD, New York, NY
8:19 – 8:26 AM
Scapholunate Advanced Collapse (SLAC) Stage III, Stage IV
Lunotriquetral Injuries
William H Seitz, MD, Cleveland, OH
8:26 – 8:33 AM
Carpal Instability- Nondissociative Midcarpal Instability- Intrinsic
Midcarpal Instability- Extrinsic
Scott W Wolfe, MD, New York, NY
8:33 – 8:40 AM
Radiocarpal Instability
Ulnar Translocation
Scott H. Kozin, MD, Philadelphia, PA
8:40 – 8:45 AM
Conclusion and Algorithm
Gary M. Lourie, MD, Atlanta, GA
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Symposium 04
Complex Elbow Fractures: Tips and Pearls to Avoid Complications
Friday, September 4
8:00 – 8:45 AM
MODERATOR
Scott P. Steinmann, MD, Rochester, MN
FACULTY
Jesse Jupiter, MD, Boston, MA
Graham King, MD, London, ON, Canada
David Ring, MD, Boston, MA
OVERVIEW
Elbow trauma is often complex, combining fracture with instability. Treatment of elbow fractures has evolved over the past few years with introduction of new technologies and treatment options. Recent studies have provided fresh knowledge of the results of various treatment methods. This symposium will address these new techniques, discuss how to avoid complications and present case examples.
EDUCATION GOAL
Attendees will learn modern treatment options for fractures of the distal humerus, fracture dislocation of the ulnohumeral joint, radial head fractures, coronoid fractures and olecranon fractures. Emphasis will be placed on surgical approach and how to avoid common pitfalls and complications
PROGRAM
8:00 – 8:10 AM
Apparent Capitellum Fractures
Jesse Jupiter, MD, Boston, MA
8:10 – 8:20 AM
Terrible Triad Injuries
David Ring, MD, Boston, MA
8:20 – 8:30 AM
Radial Head Fractures: Which Ones to Fix?
Graham King, MD, London, ON, Canada
8:30 – 8:40 AM
Coronoid Fracture Dislocation
Scott P. Steinmann, MD, Rochester, MN
8:40 – 8:45 AM
Questions & Answers
Scott P. Steinmann, MD, Rochester, MN
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Symposium 05
Cubital Tunnel Syndrome – An Endoscopic Approach
Friday, September 4
9:20 – 10:05 AM
MODERATOR
John D. Lubahn, MD, FACS, Erie, PA
FACULTY
Tyson K. Cobb, MD, Davenport, IA
Reimer Hoffmann, MD, Oldenburg, Germany
OVERVIEW
In spite of the fact that cubital tunnel syndrome is the second most common compressive neuropathy in the upper extremity, hand surgeons have yet to settle on one or even two surgical approaches to the problem. Whereas with carpal tunnel syndrome where hand surgeons tend to favor either a small open incision or endoscopic approach, cubital tunnel syndrome may be treated with insitu release, medial epicondylectomy, anterior subcutaneous transposition, anterior submuscular transposition, or anterior intramuscular transposition.
The purpose of this symposium is to present current concepts in treatment, utilizing more traditional approaches, as well as the endoscopic approach as described by Drs. Hoffmann, and Cobb.
EDUCATION GOALS
- To review the anatomy and physiology of the ulnar nerve at the elbow
- To understand the pathophysiology of compression neuropathy at the elbow
- To learn the latest techniques for decompression of the ulnar nerve at the elbow
PROGRAM
9:20 – 9:25 AM
Background and History
John D. Lubahn, MD, FACS, Erie, PA
9:25 – 9:40 AM
Endoscopic Cubital Tunnel (Inside Out)
Tyson K. Cobb, MD, Davenport, IA
9:40 – 9:55 AM
Endoscopic Cubital Tunnel (Outside In)
Reimer Hoffmann, MD, Oldenburg, Germany
9:55 – 10:05
Q&A / Discussion
Moderator: John D. Lubahn, MD
Panel: Tyson K. Cobb, MD; Reimer Hoffmann, MD
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Symposium 06
Reconstruction of the Rheumatoid Hand
Friday, September 4
9:20 – 10:05 AM
MODERATOR
Thomas Trumble, MD, Seattle, WA
FACULTY
Peter M. Murray, MD, Jacksonville, FL
Edward A. Nalebuff, MD, Boston, MA
Brian D. Adams, MD, Iowa City, IA
OVERVIEW
This symposium will cover joint arthroplasty both for small joints as well as the joint replacement for wrist replacement and distal ulnar joint instability in arthritis. The presentations will critically review the clinical data, as well as the experience of the experts, in order to determine which traditional procedures work and which ones do not. The authors will provide their experience with new techniques for joint replacements and soft tissue stabilization that offer new solutions to challenging problems in the rheumatoid hand. The program will include case presentations in addition to focused presentations by experts on topics such as: small joint arthroplasty, soft tissue reconstruction and wrist reconstruction with total wrist arthroplasty a distal radioulnar joint arthroplasty.
EDUCATION GOAL
The goal of symposium is to help surgeons identify treatable problems with the rheumatoid hand and determine, based on the clinical literature and best practices, as to which treatment options for joint reconstruction and soft tissue repair will provide meaningful improvements in the quality of life of the patients suffering from rheumatoid arthritis in the hand.
PROGRAM
9:20 – 9:23 AM
Introduction and Case Presentation: Rheumatoid Arthritis of the Fingers
Thomas Trumble, MD, Seattle, WA
9:23 – 9:30 AM
Small Joint Arthroplasty: What Works and What Doesn’t
Peter M. Murray, MD, Jacksonville, FL
9:30 – 9:33 AM
Case Presentation: Soft Tissue Instability
Thomas Trumble, MD, Seattle, WA
9:33 – 9:40 AM
When is Soft Tissue Balancing the Hand Critical?
Edward A. Nalebuff, MD, Boston, MA
9:40 – 9:43 AM
Case Presentation: Wrist Arthritis
Thomas Trumble, MD, Seattle, WA
9:43 – 10:50 AM
TWA and DRUJ Arthroplasty in the RA
Brian D. Adams, MD, Iowa City, IA
9:50 – 10:05 AM
Q&A
Thomas Trumble, MD, Seattle, WA
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Symposium 7
Treatment and Rehabilitation of Injuries to the PIP Joint
Friday, September 4
10:40 – 11:25 AM
MODERATOR
Jeffrey A. Greenberg, MD, MS, Indianapolis, IN
FACULTY
Michael S. Bednar, MD, Maywood, IL
Randip R. Bindra, MD, Maywood, IL
Nancy Cannon, OTR, CHT, Carmel, IN
Keith A. Segalman, MD, Lutherville, MD
OVERVIEW
The proximal interphalangeal joint (PIPJ) is described as the functional locus of the finger. Injuries are varied and treatment needs to be individualized to maximize functional use and minimize impairment. This symposium will focus on a variety of afflictions of the PIPJ, traumatic as well as acquired, in all age groups. Treatment considerations in the pediatric as well as the adult population will be discussed. In addition, rehabilitation techniques, specific for PIP reconstruction will be discussed.
EDUCATION GOALS
Participants will be exposed to a variety of traumatic and acquired afflictions of the PIPJ. They will learn how to recognize and formulate appropriate treatment for injuries to the PIPJ in the pediatric and adult population. Specific rehabilitation techniques, protocols and prescriptions will be discussed by two experienced hand therapists.
At the end of this symposium the participant should be able to:
Understand how injuries and acquired conditions negatively affect normal anatomy and function of the PIPJ.
Discuss how traumatic injuries and acquired conditions negatively affect normal function of the PIPJ.
Describe injuries of the PIPJ in the pediatric population and be aware of subtle injuries that may lead to long-term detrimental effects.
Choose the appropriate approach and procedure for treating acquired degenerative disease of the PIPJ.
Prescribe the appropriate splints and rehabilitation protocols for patients that have had PIPJ reconstructions.
PROGRAM
10:40 – 10:42 AM
Introduction
Jeffrey A. Greenberg, MD, MS, Indianapolis, IN
10:42 – 10:50 AM
Pediatric PIPJ Injuries
Michael S. Bednar, MD, Maywood, IL
10:50 – 10:58 AM
Treatment of PIP Fracture-Dislocations
Randip R. Bindra, MD, Maywood, IL
10:58 – 11:06 AM
The Hemihamate Replacement Arthroplasty for PIP Fracture Dislocations
Jeffrey A. Greenberg, MD, MS, Indianapolis, IN
11:06 – 11:17 AM
Implant Arthroplasty of the PIPJ
Keith A. Segalman, MD, Lutherville, MD
11:17 – 11:25 AM
Rehabilitation of PIPJ injuries-Why I Hate the Little Finger
Nancy Cannon, OTR, CHT, Indianapolis, IN
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Symposium 08
New Horizons in Upper Limb Reconstruction – Where We Will be in 10 Years
Friday, September 4
10:40 – 11:25 AM
MODERATOR
Alexander Y. Shin, MD, Rochester, MN
FACULTY
James Chang, MD, Palo Alto, CA
Susan Michlovitz, PhD, PT, CHT, Ithaca, NY
Robert J. Spinner, MD, Rochester, MN
OVERVIEW
Predicting the future can be fraught with excitement, encouragement and disappointments. However, in the world of upper extremity reconstruction, there can only be hope for advances to benefit patients with debilitating injuries. The purpose of this symposium is to have surgeons, who are on the cutting edge of clinical and basic science research, inform us on how today’s research will be translated into new horizons for both patients and surgeons ten year from now. We will focus on the future of nerve reconstruction, tissue engineering for defects of the upper limb as well as future modalities of hand therapy.
EDUCATION GOAL
To obtain an understanding of how today’s cutting edge research will affect tomorrow’s treatment of patients
PROGRAM
10:40 – 10:49 AM
Introduction / Problems Faced in Upper Limb Reconstruction Today
Alexander Y. Shin, MD, Rochester, MN
10:49 – 11:01 AM
Role of Tissue Engineering and Future Implications for Reconstructing the Upper Extremity
James Chang, MD, Palo Alto, CA
11:01 – 11:13 AM
Nerve Regeneration: The Challenges We Face Today, How Research Is Addressing Them and What Lies Ahead of Us
Robert J. Spinner, MD, Rochester, MN
11:13 – 11:25 AM
Molecules to Muscles – How Research Affects Rehabilitation, What Lies on the New Horizon
Susan Michlovitz, PhD, PT, CHT, Ithaca, NY
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Symposium 09
Challenges in Management of the Nerve Gap
Friday, September 4, 2009
1:35 – 2:20 PM
MODERATOR
Susan E. Mackinnon, MD, St. Louis, MO
FACULTY
Mark E. Baratz, MD, Pittsburgh, PA
Scott H. Kozin, MD, Philadelphia, PA
Christine Novak, PT, Toronto, ON, Canada
Thomas E. Trumble, MD, Seattle, WA
EDUCATION GOAL
This symposium will provide the attendees with the opportunity to understand the various surgical options and patient selection for nerve reconstruction and to review the operative techniques and rehabilitation strategies for complex nerve reconstruction.
OVERVIEW
Following nerve injury, the goal of treatment is to provide rapid recovery to maximize motor and sensory outcome. There are numerous options for reconstruction including nerve repair, graft and transfer and the selection of the best option depends on factors related to the injury, patient and surgeon. Through case presentation and discussion, this symposium will focus on the various surgical options for reconstruction following traumatic nerve injury in the upper extremity.
PROGRAM
This symposium will focus on the various surgical options following nerve injury. The moderator will present patient cases and lead the panel discussion.
1:35 - 1:40 PM
Introduction
Susan E. Mackinnon, MD, St. Louis, MO
1:40 - 1:50 PM
Case Study 1 - Median Nerve
Mark E. Baratz, MD, Pittsburgh, PA
Scott H. Kozin, MD, Philadelphia, PA
Christine B. Novak, PT, Toronto, ON, Canada
Thomas E. Trumble, MD, Seattle, WA
1:50 - 2:00 PM
Case Study 2 - Ulnar Nerve
Mark E. Baratz, MD, Pittsburgh, PA
Scott H. Kozin, MD, Philadelphia, PA
Christine B. Novak, PT, Toronto, ON, Canada
Thomas E. Trumble, MD, Seattle, WA
2:00 - 2:10 PM
Case Study 3 - Radial Nerve
Mark E. Baratz, MD, Pittsburgh, PA
Scott H. Kozin, MD, Philadelphia, PA
Christine B. Novak, PT, Toronto, ON, Canada
Thomas E. Trumble, MD, Seattle, WA
2:10 - 2:20 PM
Questions & Answers
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