Shoulder

Cadaver Lab

Basic
1) Loose bodies; 2) Subscapularis recess; 3) SLAP:  Anterior; 4) Instability: Bankart;
5) Bankart plication; 6) Interval closure 

Advanced
1) SLAP:  Anterior vs. posterior; 2) Instability:  Bankart, Multidirectional Instability, Plication, Posterior Reconstruction; 3) Interval closure; 4) Isolated Mumford for Osteolysis; 5) Biceps tendon release/tenodesis (soft tissue, interference screws, subpectoralis); 6) Subscapularis partial tear repair; 7) PASTA repair             

•  Saturday Evening  
  • Informal Dinner and Roundtable Discussion
    
• Sunday   7:00 am - 12:30 pm
  • Master Lectures 
  • Rotator Cuff Repair
  • Capsular Release
  • Subscapularis Repair 
  • Hill-Sachs Lesions - Laterjet Procedure
  • Arthroscopic AC Stabilization
  • Discussion/Open Forum
    

Knee Arthroscopy

New Horizons:  Advances in Knee Surgery Ligament Focus

Objectives

Upon completion of this course the participant will be familiar with: 

-Double Bundle Anatomic ACL Reconstruction

-Meniscal Allograft Transplantation

-Image Guided Surgery

-Hamstring Single Bundle ACL Reconstruction

-Open Wedge Tibial Osteotomy

          -PCL Reconstruction

At the completion of this course the registrants will be knowledgeable about anatomic ACL reconstruction, meniscal transplantation, image guided surgery, and the new advances in hamstring graft fixation for single bundle ACL reconstruction. There is also the option for high tibial osteotomy, PCL reconstruction, posterolateral corner reconstruction, and anatomic knee dissection on the final day.

Friday Evening

6:00 pm-8:00 pm

• Indications
• Complications
• Outcomes

Saturday

7:00am- 5:00pm

Systematic Approach

• Postero-Medial and Postero-Lateral Exam

Meniscal Repair

• Inside-Out/Posterior Third
• Outside-In/ Middle Third

Meniscal Surgery including Repair

• Open Postero-Medial & Postero-Lateral Approach
• Sectioning MCL
• Creating Meniscal Tears

Cadaver Lab

• Diagnostic Arthroscopy
• Loose Body Removal

Demo

• Meniscal Allograft

Menisectomy

• Medial Bucket-Handle Tear

Lunch Lecture

• ACL Reconstruction
• Osteochondral Transfer

ACL Reconstruction Lab

• Semi T
• Patellar Tendon
• Revision ACL

Saturday Evening

Informal Dinner and Roundtable Discussion

Sunday

7:00am- 12:30pm

Lectures

• Treatment of Unicompartmental Disease-Indications, Pitfalls & Techniques
• Treatment Posterior Cruciate Ligament Injuries
• Treatment of Posterolateral Corner Injuries
• Minimally Invasive Unicompartmental Knee Replacement
• Proximal Tibial Osteotomy

Cadaver Lab Options

• Tibial Osteotomy
• PCL and Posterolateral Reconstruction
• Osteochondral Grafting/Lateral Release
• Gross Anatomical Dissection

New Horizons: Advances in Knee Surgery Cartilage Focus

Objectives

Upon completion of this course the participant will be familiar with:

• Meniscal Allograft Transplantation
• Osteochondral Allografts and Autografts
• Bone/Tissue Scaffold Grafts
• Chondrocyte Transplantation
• Marrow Stimulation Techniques
• Open Wedge Tibial Osteotomy
• Unicompartment Knee Arthroplasty

At the completion of this course the registrants will be knowledgeable about meniscal transplantation, and current approaches for the treatment of articular cartilage defects.   There is also the option for high tibial osteotomy, PCL Reconstruction, unicompartment arthroplasty, and anatomic knee dissection on the final day.

Friday Evening           6:00 pm – 8:00 pm

• Arthroscopic Treatment of the Arthritic Knee

Saturday                     7:00 am-5:00 pm

• Demo: Meniscal Allograft Transplantation

Cadaver Lab

• Abrasian Arthroplasty
• Microfractures
• Osteochondral Autografts
• Osteochondral Allografts

Saturday Evening

            Informal Dinner and Roundtable Discussion

Sunday                        7:00 am -12:30 pm

     Lectures

• Osteochondral Grafting
• Osteotomy
• PCL
• Unicompartment Replacement

Cadaver Lab Options

• Open Wedge Tibial Osteotomy
• Osteochondral Grafting
• PCL Reconstruction
• Unicompartmental Arthroplasty
• Gross Anatomical Dissection

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Wrist & Elbow   

Objectives

Participant will be able to:

Wrist

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

Elbow

• Understand 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.
• Understand the arthscopic management of arthritis including radial head excision.

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 - 5:00 pm
  • Wrist
  • Wrist Anatomy and Portals
  • Portals and Diagnostic Arthroscopy Lab 
  • Debride Central TFCC tear
  • TFCC Repair Whipple
  • TFCC Repair Toughy 
  • TFCC Radial Repair
  • TFCC Debridement and Ulnar Shortening
  • Dorsal and Palmar Ganglionectomy & Radial Styloidectomy
  • Intercarpal Pinning 
  • Distal Ulnar Resection
  • ARIF Distal Radius Fracture
  • CMC & MCP Arthroscopy 
  • Arthroscopic Treatment of Carpal Instability
  • Endoscopic Carpal Tunnel Release
    
    
• Saturday Evening 
  • Informal Dinner and Roundtable Discussion

• Sunday 7:00 am - 2:00 pm
  • Elbow
  • Portals and Arthroscopic Anatomy
  • Diagnostic Arthroscopy and Loose Body Removal
  • Olecranon Spur Excision 
  • Radial Head Excision
  • Ulnohumeral Arthroplasty
  • ECRB Release
  • Capsular Release
  • Endo Cubital Tunnel Release
  • Lateral Epicondylitis 
    

Hip

Objectives

• Understand clinical assessment and indications for hip arthroscopy.
• Become familiar with safe basic positioning principles in both supine and lateral positions.
• Identify pertinent intra and extra articular arthroscopic anatomy.
• Become familiar with advanced and restorative techniques of hip arthroscopy.

Schedules

• Friday 6:00pm-8:00 pm
  • Patient Selection & Indications
  • Medical Imaging in the Hip
  • Atraumatic Lesions in the Hip
  • Outcomes in Athletes
  • Hip Impingement and Labral Tears
    
    
• Saturday 7:00 a.m. - 4:00 p.m.

Supine Approach to the Hip

• Positioning and Examples of Lesions
• Gross Anatomy--Relationship to Arthroscopic Portals
• Portal Placement
• Loose body removal
• Labral Debridement
• Arthroscopy of the Peripheral Compartment
• Cadaver Lab - Supine Position

Lateral Approach to the Hip

• Positioning & Examples of Lesions
• Gross Anatomy--Relationship to Arthroscopic Portals
• Portal Placement
• Loose body removal
• Labral Debridement
• Arthroscopic Treatment of a Snapping Hip
• Cadaver Lab - Lateral Position
  
  
• Saturday Evening 
  Informal Dinner and Roundtable Discussion
  
  
• Sunday 7:00 am - 12:00 pm
• Unique and Unexpected Lesions in the Hip
• Labral Lesions: Repair & Associated Instability
• Arthroscopic Management of  Femoroacetabluar Impingement
• Cadaver Lab

Foot/Ankle

Objectives

Participant will be able to:

• Perform diagnostic arthroscopy utilizing all portals.
• Demonstrate ability to arthroscopically remove loose body, excise osteophyte, and treat OCD.
• Understand the principles and techniques of ankle arthrodesis and Plantar Fasciotomy.
• 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 
  • Informal Dinner and Roundtable Discussion
    
    
• Sunday 7:00 am - 1:00 pm
  • Posterior Ankle Arthroscopy: Os Trigonum Excision, Haglund Excision
  • Tendoscopy 
  • Articular Cartilage Replacement
  • Plantar Fascia Release
  • Great Toe Arthroscopy
    

Fundamentals in Arthroscopy - Junior Resident Course

Fundamental Arthroscopic Skills Course for Residents

Objectives

The participant will understand the principles of the technique and be able to perform the following arthroscopic procedures:

Knee

• Diagnostic arthroscopy of the knee.
• Removal of a loose body.
• Lateral retinacular release.
• Meniscectomy.
• Meniscal repair with sutures and biodegradable fixators.
• ACL reconstruction with patellar tendon and hamstrings.

Shoulder

• Diagnostic arthroscopy of the shoulder, Glenohumeral joint, and subacromial space.
• Identify intra-articular structures, pathology, and anatomic variations.
• Removal of loose bodies.
• Arthroscopic subacromial decompression
• Arthroscopic repair of instability lesions (Bankart and SLAPs)

Knot Tying

o       Improve and optimize arthroscopic knot tying skills.

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 - 7:00 pm Reception with refreshments
  7:00 pm - 9:00 pm
  Evening  Presentations at the OLC Lecture Room
  • 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
• 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 Instability Repairs
  • Evening Open
• Sunday 7:00 am - 12:30 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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