ICLs are a great way to receive comprehensive content on specific arthroscopic topics. These breakout sessions led by experts in the field hone in on the skills and techniques you’ll be immediately applying to your practice.
Thursday, May 2, 2019 (5:30–7 P.M.)
ICL 143: Chondral Injury of the Knee: Current Controversies in 2019
Aaron J. Krych, M.D., Jack Farr II, M.D., Paul E. Caldwell, M.D., Rachel M. Frank, M.D.
This course will focus on current treatment strategies for articular cartilage, highlighting the controversies and different approaches from a diverse faculty perspective.
ICL 144: Proximal Hamstring Pearls and Pitfalls: Everything from Arthroscopic Repair to Open
Thomas Youm, M.D., Guillem Gonzalez-Lomas, M.D., Michael Pickell, M.D., Stephen A. Hunt, M.D.
This course reviews practical information and technical tips for surgeons treating proximal hamstring injuries. Case presentations highlight decision‐making skills and solutions to common challenging problems.
ICL 145: Surgical Considerations in Revision ACL Reconstruction
Michael J. Alaia, M.D., Cory Edgar, M.D., Ph.D., Bryson Paul Lesniak, M.D., Lijiljana Bugunovic, M.D.
This course reviews practical information and technical tips for surgeons performing revision ACL reconstructions. Case presentations highlight decision-making skills and solutions to common challenging problems.
ICL 146: Treating Shoulder Degenerative Arthritis in the Young Athlete – Incorporating Shoulder
Alan S. Curtis, M.D., Kevin Plancher, M.D., M.P.H., Patrick St. Pierre, M.D., Anthony Miniaci, M.D.
The purpose of this ICL is to review the options we can offer to patients with glenohumeral arthritis to minimize their symptoms and endure their condition. Presentations will cover injection therapy, arthroscopic options, and shoulder replacement in the young active individual.
Friday, May 3, 2019 (7–8:30 A.M.)
ICL 201: Controversies in the Use of Grafts and Patches for Rotator Cuff Surgery: Augmentation, Interposition, Superior Capsule, Reconstruction and Bio-Inductive Scaffolds
Richard K.N. Ryu, M.D., John M. Tokish, M.D., F. Alan Barber, M.D., Mark H. Getelman, M.D., Daniel Slullitel, M.D.
This course will familiarize the participants with the biology and mechanics of rotator cuff patches and grafts; the indications for augmentation, interpositions, superior capsule reconstruction and bio inductive in growth using graft materials, and; the surgical technique for graft implantation.
ICL 202: Innovative Techniques for Complex Meniscal Repair, Substitution and Meniscal Allograft Transplantation
Seth L. Sherman, M.D., Scott A. Rodeo, M.D., Adam Yanke, M.D., Wayne K. Gersoff, M.D.
Despite awareness of the important role of the meniscus, repair of complex meniscal tears (e.g., radial, horizontal, root) and treatment of meniscal deficiency remain a challenge. This course familiarizes the surgeon with innovative techniques for complex meniscal repair and meniscal healing, novel options for meniscus substitution, and meniscal allograft transplantation.
ICL 203: Non-Operative Management of Osteoarthritis of the Knee: What Should You Be Injecting Now and in the Future?
John C. Richmond, M.D., Jack M. Bert, M.D., Jason Dragoo, M.D.
This course covers lectures on HA, corticosteroids (traditional and the new sustained release product), and biologics in the management of OA of the knee. A 45-minute period will be devoted to case presentations and discussion.
ICL 204: Shoulder Instability with Bone Loss: Arthroscopic Treatment Alternative
Ivan H. Wong, M.D., John D. Kelly IV, M.D., Paul J. Favorito, M.D., John M. Tokish, M.D., Hannan Mullett, M.D.
Shoulder instability with bone loss has been a significant concern for higher failure rates from shoulder surgery. There have been significant advances in the detection and surgical management of shoulder instability with bone loss. Faculty will discuss the decision-making process for treatment of shoulder instability with bone loss, discuss techniques with video demonstration and outcomes of various arthroscopic treatment options. There will be interactive case-based presentations following the didactic lectures, focusing on complex decision-making and advanced surgical techniques.
Friday, May 3, 2019 (5–6:30 P.M.)
ICL 281: Current Controversies in Hip Arthroscopy
Dean K. Matsuda, M.D., Marc J. Philippon, M.D., Thomas G. Sampson, M.D., Omer Y. Mei-Dan, M.D.
This is a case-based and debate-based ICL covering spectrum of new and/or unresolved controversies involving the growing use of arthroscopy in and around the hip. World-renown faculty present the pros and cons of top controversies while exposing registrants to evidence-based literature and emerging techniques. Topics include but are not limited to the role of hip arthroscopy in dysplasia, osteoarthritis, global pincer femoroacetabular impingement (FAI), and posterior cam impingement. Other controversial topics include the natural history of FAI, whether simultaneous bilateral hip arthroscopy is better than staged procedure, whether segmental versus complete reconstruction is indicated, and the emerging role of orthobiologics. Examples of video-intense emerging procedures include endoscopic shelf acetabuloplasty, endoscopy-assisted periacetabular osteotomy (PAO), closed derotational osteotomy, and femoral head-neck bone grafting for excessive femoroplasty. Whether newbie or experienced in hip arthroscopy, this ICL aims to expose and engage the registrant to evolving advances in hip arthroscopy and hip preservation.
ICL 282: Arthroscopic ACL Primary Repair: Indications, Techniques and Outcomes
Gregory S. DiFelice, M.D., Wiemi Abell Douoguih, M.D., Jorge Chahla, M.D., Kevin F. Bonner, M.D.
Recently there has been resurgent interest in the concept of repairing the native ACL, rather than reconstructing it. Although the disappointing mid-term outcomes of open ACL Repair noted in the historic literature led to the abandonment of a preservation approach, more recent data suggests that certain ACL tears may be amenable to repair. With the modern-day advances in diagnostic, surgical and rehabilitative technology and understanding, a more selective approach to ACL repair focusing mainly on proximal avulsion type tears has led to encouraging results in multiple early cohorts. This Instructional Course Lecture will briefly review why we don't currently repair the ACL, and why we should consider adding this preservation approach to our surgical armamentarium. In addition, the two main techniques of ACL repair: the suture anchor-based approach, and the suspensory fixation approach will be reviewed in depth regarding technique and outcomes. Finally, a series of clinical case examples will be discussed at length.
ICL 283: Hype, Promise, and Reality: Orthopaedic Use of Biologics in 2019
Stephen C. Weber, M.D., Brian J. Cole, M.D., M.B.A., Scott A. Rodeo, M.D.
Orthobiologics is an emerging field which offers great promise, but the interest in the lay press has outstripped the science. This course covers the established applications of orthobiologics, as well as emerging areas of interest, and the regulatory aspects of the use of these emerging devices and products.
ICL 284: Management of the “Irreparable” Rotator Cuff Tear Without Glenohumeral Arthritis
Brian R. Waterman, M.D., Michael T. Freehill, M.D., Nikhil Verma, M.D., Mark H. Getelman, M.D.
From the physiologically young athlete to the elderly, low-demand patient, this course will explore the systematic evaluation and management of challenging rotator cuff tears in an interactive case-based format. The presenters will discuss the full spectrum of interventions for symptomatic rotator cuff pathology, in both the primary and salvage situation, and review surgical indications for addressing partial to full-thickness rotator cuff tears of varying chronicity and managing coexisting shoulder pathology. Established techniques and technical pearls for primary and revision rotator cuff repair will be revisited, and the roles of other emerging techniques such as repair augmentation (allograft and autograft), superior capsular reconstruction, balloon arthroplasty, and orthobiologic adjuncts will be evaluated.
Saturday, May 4, 2019 (7–8:30 A.M.)
ICL 301: Management of Patellofemoral Instability: Stabilization, Cartilage Restoration, Resurfacing and Arthroplasty
Laith M. Jazrawi, M.D., Jack Farr II, M.D., Andreas Gomoll, M.D., Miho J. Tanaka, M.D.
This course will include lectures, cases, and audience participation covering the diagnosis, classification, and treatment of patellofemoral instability, including cartilage transplantation, osteotomies and soft tissue procedures provide a contemporary understanding of PF instability.
ICL 302: Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization
Albert Lin, M.D., Matthew T. Provencher, M.D., Aman Dhawan, M.D., Michael T. Freehill, M.D., Guillermo R. Arce, M.D. (Argentina)
This course will cover open and arthroscopic revision surgical treatment options following a failed arthroscopic anterior stabilization with particular focus on controversial, subcritical bone loss situations. Special consideration will be given to risk factors and reasons for primary arthroscopic failure as well as in season management of the athlete, type of sport, and expectations following revision surgery. The full spectrum of revision options will be covered including arthroscopic revision anterior stabilization with or without additional augmentation, open Bankart repair with capsular shift, open Latarjet, distal tibial osteochondral allograft reconstruction, and arthroscopic autogenous and allograft bone block. The ICL will be a case-based format with a focus on pros and cons, long-term follow-up, recurrence, return to sport, and pearls and pitfalls of surgical technique.
ICL 303: SLAP, Biceps or Both: How to Manage the Difficult Problem in Our Overhead Athletes
Anthony R. Romeo, M.D., Brandon J. Erickson, M.D., Justin W. Griffin, M.D., Ruth Delaney, M.D.
The goal of the course will be to discuss all aspects of biceps and labral pathology in overhead athletes. The course will begin with a brief overview including anatomy and function of the biceps/labral complex as well as the epidemiology of these injuries in overhead athletes. Next, we will educate the audience on critical aspects of the athlete's pain and throwing history including onset of symptoms and when the symptoms occur in the throwing cycle. Physical exam maneuvers specific to the biceps/labral compels and a thorough overview of diagnostic imaging will be reviewed. Various treatment options will then be discussed, including non-operative and operative options. Specific non-operative treatments including specific rehabilitation programs, ultrasound guided injections, biologics, and a return to throwing program will be discussed. Surgical treatment options including SLAP repair, biceps tenodesis (open and arthroscopic) and others such as the biceps transfer will be reviewed. Surgical videos demonstrating our techniques will be shown. Current evidence surrounding the treatment outcomes for both non-operative and operative treatment will be presented so the audience has the most up-to-date knowledge of the literature. Finally, we will discuss our treatment algorithm for these athletes and how we manage this difficult problem. We will discuss how we approach these athletes, including discussions with their coaches, parents, etc. and will provide the audience with a reliable, evidence-based treatment algorithm for managing biceps and labral pathology in their overhead athlete patient population. Throughout the lectures we will include specific cases to better illustrate our points to the audience. We will also have a panel discussion at the end of difficult cases, and how we managed each specific case.
ICL 304: Top Uses of MSK Ultrasound of the Shoulder, Elbow, Hip, and Knee
Don A. Buford, M.D., Ethan L. Kellum, M.D.
This course will discuss and illustrate the top uses of ultrasound in clinical practice for the shoulder, elbow, hip, and knee joints. Through a combination of lecture, clinical video, and live demonstration, the ICL will give participants visual and hands on experience with ultrasound guided procedures for the top Orthopaedic procedures for these joints.