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Shoulder

Learning Objectives

Following this activity the participant will be able to identify and employ the indications for surgery and the principles of surgical techniques in order to improve competence and skill in preforming arthroscopic procedures in the shoulder including:

  • Diagnostic arthroscopy of the glenohumeral joint and subacromial space.
  • Normal intra-articular structures, pathology and anatomic variations.
  • Knot tying techniques.
  • Indications and techniques for SLAP repair.
  • Subacromial decompression and A-C joint resection.
  • Stabilization techniques for both anterior and posterior instability repairs, labral repair, capsular plication and interval closure. 
  • Arthroscopic remplissage technique. 
  • Insertional anatomy and tear patterns associated with rotator cuff injuries.
  • Various techniques for single and double row repair.
  • Pathology of the biceps tendon and indications for tenotomy and tenodesis.
  • Subscapularis repair.
  • Introduction to advanced shoulder procedures including the Laterjet procedure and arthroscopic release of the suprascapular nerve.

Participants will be partnered depending on skill level. At the end of the course, the participant will dissect the specimen to review the anatomy and evaluate the procedures performed.

Schedules

  • Friday Evening: 6:00 pm-9:00 pm
    Lectures 
    • Overview of Positioning of Shoulder Arthroscopy and Proper Portal Placement Techniques
    • Arthroscopic Anterior Bankart Repair
    • Posterior Instability Repair
    • MDI/Arthroscopic Management
    • SLAP Repair Indications and Techniques
    • Interval Closure When, Why and Where
    • The Continuum of Traumatic Shoulder Instability 
    • Knot Tying Lab and ALEX Dry Model Lab
       
  • Saturday: 7:00 am - 5:00 pm
    Lectures
    • Patterns of Rotator Cuff Tears
    • PASTA Tears When and How to Repair
    • Single Row Repair
    • Double Row Repair
    • Subscapularis Repair Bursal and Articular 
    • Dealing with the Massive Rotator Cuff Tear:  Releases and Partial Repairs 
    • Biceps Pathology Indications for Tenotomy or Tenodesis
    • Arthroscopic AC Joint Resection
    • Indications and Technique for Subacromial Decompression 

Cadaver Lab 

  • Diagnostic Arthroscopy
  • Anterior Reconstruction with Bankart Repair
  • Posterior Labral Repair
  • SLAP Repair Two Anchor
  • Remplissage Technique 
  • Biceps Tenotomy/Tenodesis
  • Subacromial Decompression AC Joint Resection
  • Creation of Rotator Cuff Tear
  • Rotator Cuff Repair Using Single Row Technique
  • Understand and Complete Double Row Rotator Cuff Technique and Transosseus Equivalent 
  • Subscapularis Repair 
  • Saturday Evening
    • Refreshments and Roundtable Discussion with Faculty
       
  • Sunday: 7:00 am - 12:30 pm
    Lectures
    • Arthroscopic AC Joint Reconstruction
    • Dealing with Bone Loss and Instability Including the Laterjet procedure
    • Indications and Technique for Suprascapular Nerve Release
    • Capsular release for adhesive capsulitis 

Cadaver Lab 

  • Complete Rotator Cuff Repairs
  • Suprascapular Nerve Release
  • AC Joint Reconstruction
  • Open AC Joint Reconstruction
  • Laterjet Reconstruction
  • Gross Dissection of Shoulder Specimen
     

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Knee Arthroscopy

Knee: Patellofemoral Surgery -From Instability to Arthroplasty

This activity has been planned and implemented in accordance with the Essential Areas and polices of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Arthroscopy Association of North America and The Patellofemoral Foundation.  The Arthroscopy Association of North America is accredited by the ACCME to provide continuing medical education for physicians.

About The Patellofemoral Foundation
The Patellofemoral Foundation's mission is to improve the care of individuals with anterior knee pain and instability through targeted education and research. The Specific Goals of the Patellofemoral Foundation are as follows: Research: Fund and/or reward carefully selected scientific efforts that study the causes, prevention, and treatment of patellofemoral disorders; Education: Provide focused educational sports medicine meetings in various locations to educate health care professionals about prevention and proper care of patients and athletes with patellofemoral pain and instability; Innovation: Find new and improved methods for treating patients with patellofemoral pain, emphasizing minimal intervention and non-surgical methods; Awareness: Enhance awareness of patellofemoral problems, the prevalence of patellofemoral pain, and the impact on athletes, workers, and the economy. For more information please visit the Patellofemoral Foundations’ website www.patellofemoral.org

Learning Objectives

  • Distinguish patellofemoral surgical anatomy and biomechanics
  • Identify appropriate indications for MPFL restoration and MPFL reconstruction
  • Recognize when and how to improve patellofemoral articular loading and balance by tibial tubercle transfer
  • Examine and comprehend patellofemoral joint preservation techniques
  • Identify logical approaches to treating patients with patellofemoral pain and instability
  • Review practical surgical pearls for excellence in patellofemoral surgery
  • Apply and improve patellofemoral surgery skills
  • To gain expertise in the surgical techniques available for patellofemoral arthroplasty

Friday Evening 5:00 pm-8:30pm

Lectures

  • Anatomy and Imaging
  • Nonoperative Management
  • Case Discussions

Saturday 7:00am – 5:00pm

Lecture and Cadaver Lab Topics

  • Overview of PF Surgical Management – Instability
  • Medial Soft Tissue Surgery
  • Lateral Retinacular Surgery
  • Live Demo: MPFL & Lateral Retinaculum Anatomy
  • Proximal mechanism surgery
    • MPFL
    • Lateral Retinaculum
  • Tuberosity Surgery with Discussion
  • Chondral Defects and Arthritis – Non-Arthroplasty Treatment
  • Patellofemoral Arthroplasty
  • Live Demos followed by Participant Hands on Cadaver
    • Chondral defects
    • Tibial Tuberosity
    • Arthroplasty
  • Case Presentations and Discussions: Faculty Panel



New Horizons: Advances in Knee Surgery Ligament Focus

Learning Objectives

Upon completion of this course the participant will be able to distinguish and improve skills in:

  • Single and Double Bundle Anatomic ACL Reconstruction
  • Single and Double Bundle PCL Reconstruction 
  • Posterolateral Corner Reconstruction 
  • Posteromedial Reconstruction
  • Revision ACL Reconstruction
  • Osteochondral Allograft Transplantation
  • Meniscal Transplantation
  • Meniscus Repair 
  • Posterolateral Corner Reconstruction

Schedules

  • Friday Evening: 6:00 pm-8:00 pm
    • Lectures
       
  • Saturday: 7:00am- 5:00pm
    • Lectures:  Topics coincide with lab 
    • Cadaver Lab
      • Meniscus Surgery
        • Menisectomy
        • Meniscus Repair
        • Meniscal Fixators
      • ACL Reconstruction
        • Hamstring Tendon
        • Bone-Patellar-Tendon-Bone
        • Quadriceps Tendon
      • Single Bundle Reconstruction
      • Double Bundle Reconstruction
      • Revision ACL Reconstruction
      • PCL Reconstruction
        • Single Bundle
        • Double Bundle
        • Tibial Inlay
           
  • Saturday Evening
    • Refreshments and Roundtable Discussion
       
  • Sunday: 7:00am - 12:30pm
    • Lectures:  Topics conincide with lab 
    • Cadaver Lab Options
      • PCL Reconstruction continued
      • Posterolateral Reconstruction
      • Posteromedial Reconstruction
      • Osteochondral Allograft Transplantation
      • Meniscus Transplantation 
      • Anatomical Surgical Dissection

New Horizons: Advances in Knee Surgery Cartilage Focus

Learning Objectives

Following this activity the participant will be able to demonstrate, appropriately indicate, and treat patients with the following surgical techniques:

  • Meniscal Allograft Transplantation
  • Osteochondral Allografts and Autografts
  • Bone/Tissue Scaffold Grafts
  • Chondrocyte Transplantation
  • Marrow Stimulation Techniques
  • Open Wedge Tibial Osteotomy
  • Unicompartment Knee Arthroplasty
  • Non-Biologic Resurfacing Options
  • Treatment of Articular Cartilage Defects

Schedules

  • Friday Evening: 6:00 pm – 8:00 pm
    • Lecture
      • Meniscus: Tear Management
      • Articular Cartilage Lesions
      • Meniscal Allografts:  Indications & Techniques
         
  • Saturday: 7:00 am - 4:00 pm
    • Cadaver Lab
      • Medial meniscal Transplantation
      • Autogenous Osteochondral Transfer
      • Transplant Procedures 
      • Microfractures
      • Osteochondral Allografts
      • Synthetic Bone Grafting
      • Non-Biologic Resurfacing Options
      • Joint Resurfacing
      • Juvenile Chondrocyte Implantation

         
  • Saturday Evening
    • Refreshments and Roundtable Discussion
       
  • Sunday: 7:00 am -12:30 pm
    • Lectures
      • Osteochondral Grafting
      • Opening Wedge 
      • Closing Wedge 
      • Unicompartment Arthroplasty
    • Cadaver Lab Options
      • Open Wedge Tibial Osteotomy
      • Osteochondral Grafting
      • Unicompartmental Arthroplasty
      • Gross Anatomical Dissection

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Wrist & Elbow

Learning Objectives

Following this activity the participant will be able to:

Wrist

  • Distinguish operating room set up for optimal success with wrist arthroscopy.
  • Identify portal anatomy and diagnostic arthroscopy of the wrist.
  • Establish radiocarpal and midcarpal standard portals.
  • Develop techniques to have a clear view of the radiocarpal and midcarpal joint.
  • Recognize the arthroscopic management of wrist instabilities.
  • Integrate techniques of operative debridement and repair of TFCC lesions.
  • Review indications and techniques for arthroscopic management of distal radius and scaphoid fractures.
  • Develop skills in endoscopic carpal tunnel release.

Elbow

  • Distinguish operating room set up for optimal safe and effective arthroscopy.
  • Demonstrate portal placement for successful elbow arthroscopy.
  • Review techniques for treatment of OCD, lateral epicondylitis and arthrofibrosis in the elbow.
  • Examine the arthroscopic management of arthritis including ulnohumeral arthroplasty.

At the end of the course, the participant will dissect the specimen to review the anatomy and evaluate the procedures performed in both the wrist and elbow.

Schedules

  • Saturday: 7:00 am - 6:00 pm
    Wrist
    • Portals and Diagnostic Arthroscopy & Removal of Loose Bodies 
    • TFCC Repair Whipple
    • TFCC Repair Touhy
    • Ligamentum Subcruentum Repair 
    • TFCC Debridement and Ulnar Shortening
    • Dorsal Ganglionectomy & Radial Styloidectomy
    • Intercarpal Pinning
    • ARIF Scaphoid  
    • ARIF Distal Radius Fracture
    • CMC & MCP Arthroscopy
    • Endoscopic Carpal Tunnel Release 
    • Arthroscopic Management Wrist Ganglions
       
  • Saturday Evening
    • Refreshments and Roundtable Discussion with Faculty
       
  • Sunday: 7:00 am - 12:30 pm
    Elbow
    • Portals and Arthroscopic Anatomy
    • Diagnostic Arthroscopy and Loose Body Removal
    • Olecranon Spur Excision
    • Radial Head Excision
    • Arthroscopic Ulnohumeral Arthroplasty
    • ECRB Release
    • Capsular Release
    • Endoscopic Cubital Tunnel Release

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Hip

Learning Objectives

Following this activity the attendee will be able to:

  • Formulate appropriate indications and limits for arthroscopic/endoscopic hip procedures.
  • Demonstrate competence with respect to safe basic principles for access to the central and peripheral compartment and peritrochanteric space. 
  • Identify pertinent intra and extra articular arthroscopic anatomy.
  • Apply advanced surgical techniques for arthroscopic and endoscopic hip procedures in a cadaveric lab setting.
  • Discuss clinical cases provided by course attendants and faculty and demonstrate application to practice.

Schedules

  • Friday 6:00pm-8:00 pm 
    • Lectures
    • Patient Selection & Indications
    • Hip Model Lab
      • Orientation to Anatomy
      • Triangulation Techniques
      • Labral Repair
      • Assessment of Femoroacetabular Impingement
  • Saturday: 7:00 a.m. - 4:00 p.m.
    • Overview of Supine & Lateral Approaches
    • Portal Placement, Gross & Arthroscopic Anatomy
    • Cadaver Lab 
      • Central Compartment  
        • Portal Placement & Access
        • Debridement & Loose Body Removal Procedures
        • Labral Repair/Refixation
        • Labral Reconstruction
        • Acetabular Rim Trimming & Labral Refixation 
      • Peripheral Compartment  
        • Portal Placement & Access
        • Debridement & Synovectomy Procedures
        • Correction of Cam Impingement
      • Iliopsoas Tendon  
        • Release from Peripheral Compartment
        • Lesser Trochanteric Release 
      • Peritrochanteric Space 
        • Anatomy, Landmarks & Portal Placement
        • Trochanteric Bursoscopy & Bursectomy
        • Release of IT Band for External Snapping Hip
        • Assessment & Repair for Abductor Pathology   
  • Saturday Evening
    • Refreshments and Roundtable Discussion with Faculty 
      • Coding, Reimbursement and Interesting Cases 
         
  • Sunday: 7:00 am - 12:00 pm
    • Lectures 
      • Pediatric Hip Arthroscopy 
      • Arthroscopy Following Total Hip Arthroplasty/Osteotomies
      • New Horizons in Endoscopic Techniques Around the Hip
      • Approach for the degeneration Hip
      • Avoiding and Treating Complications  
    • Cadaver Lab 
      • Completion of procedures from Saturday & Open Dissection 

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Foot / Ankle

Learning Objectives

Following this activity the participant will be able to:

  • Perform diagnostic arthroscopy utilizing all portals.
  • Demonstrate ability to arthroscopically remove loose bodies, excise osteophytes, and treat OCD.
  • Interpret the principles and techniques of ankle arthrodesis.
  • Develop and implement plan for arthroscopic treatment of ankle fractures.
  • Dissect specimen to evaluate efficacy of procedures performed.

Schedules

  • Saturday: 7:00 am - 5:00 pm
    • Set-up Portals, Diagnostic Arthroscopy, Loose Body Removal
    • Accessory Portals, Osteophytes, Soft Tissue Impingement
    • Osteochondral Lesions of Talus
    • Ankle Arthrodesis
    • Subtalar Arthroscopy
    • Arthroscopic Treatment of Ankle Fractures
       
  • Saturday Evening
    • Refreshments and Roundtable Discussion
       
  • Sunday: 7:00 am - 12:00 pm
    • Posterior Ankle Arthroscopy: Os Trigonum Excision, Haglund Excision
    • Tendoscopy
    • Articular Cartilage Replacement
    • Great Toe Arthroscopy

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Fundamentals in Arthroscopy - Resident Course

Fundamental Arthroscopic Skills Course for Residents

Learning Objectives

  • Apply fundamental knowledge of anatomy and motor skills to optimizing arthroscopic techniques.
  • Utilize an arthroscope in both a knee and shoulder to develop basic motor skills which can be extrapolated to future arthroscopic cases in residency and in practice.
  • Demonstrate fundamental arthroscopic skills of triangulation, scope translation, scope rotation to optimally visualize both a knee and shoulder joint.
  • Perform increasingly advanced arthroscopic techniques in the knee ranging from diagnostic arthroscopy, removal of loose bodies, partial meniscectomies, meniscus repairs and ligament reconstructions.
  • Perform increasingly advanced arthroscopic techniques in the shoulder ranging from diagnostic arthroscopy, bursectomy, subacromial decompression, distal clavicle excision, and labral repairs.
  • Demonstrate improved arthroscopic knot tying skills and explain what constitutes a secure arthroscopic knot.

At the end of the course the participant will dissect knee and shoulder specimens to review the anatomy and evaluate the procedures performed.

Schedules

  • Thursday 
    6:00 pm - 8:30 pm
    Evening Presentations and reception 
    • Fundamentals in Knee Arthroscopy
       
  • Friday: 7:00 am - 5:00 pm
    • Portal Placement
    • Diagnostic Arthroscopy
    • Loose Body Removal
    • Partial Lateral & Meniscectomy
    • Meniscus Repair with Implant Techniques
    • ACL Reconstruction
    • Optional PCL recontruction for accelerated residents
    • Guided knee dissection
    • Bonus ankle arthroscopy and demo station
       
  • Friday Evening
    • Informal Dinner and Roundtable Discussion
       
  • Saturday: 7:00 am - 5:30 pm
    • Arthroscopic Shoulder Anatomy, Portals, and Risks
    • Potential Complications
    • Beach Chair vs. Lateral Decubitus
    • Glenohumeral Arthroscopy
    • Subacromial Decompression & Distal Clavicle Excision
    • Knot Tying Lab
    • Arthroscopy SLAP and Bankart Instability Repairs
    • Bonus elbow arthroscopy at demonstration station
    • Evening Open
       
  • Sunday: 7:00 am - 12:00 pm
    • Introduction to Arthroscopic Rotator Cuff Repairs
    • Mini-Open (Deltoid Split) to Inspect Repair, Take Down Repair, and Re-repair with New Anchors
    • Guided Cadaveric Dissection (with Prosector)

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