Instructional Course Lectures (ICLs)

Arthroscopic Glenoid Reconstruction, Bone Blocks and Transfers in the Management of Complex Shoulder Instability With Bone Loss: Advanced Concepts and Surgical Techniques: Interactive and Case -Based

ICL Description:

The course consists of a brief overview of bone loss and current strategies, including how to measure and evaluate critical bone loss in the clinical setting. Multiple cases on anterior, posterior and combined instabilities are presented, highlighting the complex decision-making process, the thorough preoperative assessment followed by state-of-the-art surgical innovations, tools and techniques. At the conclusion of the ICL, the learners will be familiar with all the current solutions for complex shoulder instability with bone loss.

Learning Objectives:

Upon completion of this course, learners should be able to:

1. Preoperatively assess complex shoulder instability with significant bone loss to include the physical examination, imaging and on-track, off-track determinations.
2. Implement state-of-the-art surgical techniques and concepts required to achieve shoulder stability.
3. Make clinical decisions regarding which options are most appropriate for differing levels of bone loss and associated soft tissue compromise; and cite pertinent published clinical results with an emphasis on evidence-based medicine during the debates and discussion.

Faculty:

Richard K.N. Ryu, M.D., Mark H. Getelman, M.D., Rachel M. Frank, M.D., John M. Tokish, M.D.

Controversies in the Overhead Athlete's Shoulder

ICL Description:

This course discusses the following topics: pathomechanics and scapular dyskinesis; how to treat the throwing athlete including Batter's shoulder and Bennett lesion; how to evaluate and apply best practices for posterior labrum pathology in the baseball athlete; how to evaluate and manage suprascapular neuropathy; when to perform SLAP repair or biceps tenodesis for throwing shoulder; approaches for failed nonoperative care of the pitcher's PASTA tear; and the best way to approach lateral and teres major tightness.

Learning Objectives:

1. Describe the pertinent anatomy and function of the biceps/labral complex.
2. Recognize areas of dysfunction in mechanics and appreciate the most effective means of diagnosis.
3. Understand the most evidence-based means of surgical anatomical restoration of the disabled throwing shoulder.

Faculty:

John D. Kelly, M.D., William B. Kibler, M.D., Mary K. Mulcahey, M.D., Michael T. Freehill, M.D., Ashish Bedi, M.D., Brian R. Waterman, M.D.

Meniscus Repair and Replacement: New Techniques, Indications and Biologic Augmentations

ICL Description:

The meniscus is vital to normal knee function and the health of the articular cartilage. While meniscus tears are very common, we proportionately devote little time and resources into improving our surgical indications and technique for meniscus preservation and restoration. Recently there have been advances in recognition of tear pattern and surgical treatment of meniscus pathology. As a surgeon, it is important to understand how and when patients can benefit from these procedures. This course provides a case-based approach to guidelines on how to recognize and treat a variety of meniscus pathology in the isolated and concomitant setting. Recognition of specific tear patterns, including full-thickness radial tears, complex tears, and root tears are emphasized. Variations of surgical techniques, such as transtibial pull-out for root tears, novel all-inside techniques, gold standard repair techniques, and transplantation are also covered. In addition, emerging biologic augmentation is discussed.

Learning Objectives:

Upon completion of this course, learners should be able to:

1. Recognize tear patterns from preoperative imaging, indications for different types of meniscus repair as well as evolving techniques, indications and techniques for meniscus transplantation.
2. Recognize concomitant pathology that may need to be addressed.

Faculty:

Scott A. Rodeo, M.D., Thomas M. DeBaradino, M.D., Thomas R. Carter, M.D., Catherine C. Robertson, M.D.

So You’ve Mastered MPFL Reconstruction: What Else to Add, and When?

ICL Description:

Surgical techniques in medial patellofemoral ligament (MPFL) reconstruction for the treatment of patellar instability have become increasingly popularized. However, optimal outcomes require that concurrent factors related to morphology or alignment are addressed at the time of soft tissue reconstruction. This ICL covers the treatment algorithm for when and why to add concurrent procedures and provide pearls on how to perform them while avoiding complications. Cases demonstrating multiple concurrent factors are presented to highlight each principle.

Learning Objectives:

Following this course, learners should be able to:

1. Understand when and how to add anteromedializing osteotomy in the setting of coronal malalignment and how to avoid complications.
2. Understand when and how to add distalizing tuberosity osteotomy in the setting of patella alta and how to avoid complications.
3. Understand when and how to add trochleoplasty techniques in the setting of severe trochlear dysplasia and how to avoid complications; and understand when and how to add lateral release or lengthening in the setting of lateral soft tissue contractures and how to avoid complications.

Faculty:

Miho J. Tanaka, M.D., M.A., Andrew J. Cosgarea, M.D., Elizabeth A. Arendt, M.D.

Treating the Younger Degenerative Knee From Osteotomy to Arthroplasty

ICL Description:

This ICL focuses on ways to incorporate osteotomy into a sports medicine practice. The course addresses proper patient selection and preoperative planning to identify patients that can be helped to achieve optimal outcomes by incorporating knee osteotomy. Topics focus on osteotomy for knee cartilage preservation, degenerative joint disease and ligament reconstruction. Techniques including pearls and pitfalls are discussed as well as how to manage complications.

Learning Objectives:

Upon completion of this course, learners should be able to:

1. Identify and select patients that can benefit from knee osteotomy in a sports medicine practice.
2. Understand the preoperative planning of osteotomy and techniques that are required to achieve desired alignment.
3. Become familiarized on techniques to manage complications and disasters after knee osteotomy or avoid complications altogether.

Faculty:

Michael R. Karns, M.D., Travis G. Maak, M.D., Eric J. Strauss, William D. Bugbee, M.D., Andreas H. Gomoll, M.D., Seth L. Sherman, M.D.