2018 anadian Shoulder and Elbow Society Residents ourse ... · and limitations of soft tissue repair strategies; Describe the rationale and risks of Latarjet repair and other bony

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2018 Canadian Shoulder and Elbow Society Residents Course February 1 - 3, 2018

University of Ottawa, Skills and Simulation Centre & The Ottawa Hospital Civic Campus

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Canadian Shoulder and Elbow Society

ACCESS TO COURSE MATERIALS

To access the presentations from the CSES Resident Course, please log into your CPD profile. Visit https://eventscpd.med.uottawa.ca. Once you are logged in,

click on the History tab. Select CSES - 2018 Canadian Shoulder and Elbow Society Resident Course. Scroll down to Program Schedule and click on the date to

view the presentations for that day. Please note that we cannot guarantee that all presentations will be posted.

YOUR FEEDBACK IS IMPORTANT

Please be sure to complete the course evaluation form, located at the following link: www.surveymonkey.com/r/CSES2018

WIFI

Complimentary WIFI is available, please connect to the network TOH Guest.

FACULTY DISCLOSURES AND BIOGRAPHIES

Speaker disclosure forms and biographies have been posted to the online presentation portal in our registration system Entrada. To access the speaker

disclosure forms and biographies, please log into your CPD profile. Visit https://eventscpd.med.uottawa.ca. Once you are logged in, click on the History tab.

Select CSES - 2018 Canadian Shoulder and Elbow Society Resident Course. Scroll down to Program Files and select the appropriate document.

University of Ottawa, Skills and Simulation Centre Loeb Building Kaminski Room Parkdale Clinic Ottawa Hospital, Civic Campus, Amphitheatre Main Building, Norman Patterson Entrance


February 1, 2018

7:00AM Shuttle Departs Andaz Byward Market Hotel to the Ottawa Hospital Civic Campus (1053 Carling Ave) Meet in Hotel Lobby

7:15AM Breakfast and Registration Amphitheatre Lobby

8:00AM Welcome and Introductions - Dr. J Pollock Amphitheatre

8:10AM Elbow Fracture Dislocations Panel - Moderated by Dr. J Pollock Amphitheatre

8:10AM - 8:30AM 8:30AM - 9:10AM

Update on Radial Head Fractures - Dr. Graham King Describe current concepts involving radial head fractures; Demonstrate a sound and rational approach to non-surgical and surgical decision making as it relates to radial head fractures; Discuss surgical techniques and implant options for ORIF and radial head arthroplasty Case Presentations Elbow Fracture Dislocations - Dr. Kenneth Faber, Dr. J Pollock & Dr. James Dubberly Discuss treatment indications; Apply surgical decision making including surgical approach and surgical fixation techniques; Describe the surgical indications and treatment of soft tissue injuries

9:10AM - 9:30AM Refreshment Break Kaminski Room

9:30AM - 9:45AM Transition to University of Ottawa, Skills and Simulation Centre and Change uOSSC

9:45AM - 12:45PM Wet Lab: Cuff/Bankart (Groups 1, 2, 3) - Moderated by Dr. Peter Lapner Large Skills Room

Dr. Frederic Balg Dr. Patrick Chin Dr. Patrick Henry Dr. Ryan Bicknell Dr. Darren Drosdowech Dr. Jason Old Dr. Aaron Bois Dr. Danny Goel Dr. Meaghan Rollins Dr. Sebastien Zilber Identify and mark key bony landmarks, including portal sites, around the shoulder; Carry out a diagnostic arthroscopy and identify key anatomic structures; Insert bone anchors at appropriate locations for instability and rotator cuff repair; Evaluate and practice basic suture management technique required to carry out a shoulder stabilization / cuff repair; Select and employ the proper knot tying tech that is appropriate for specific pathology; select and employ appropriate suture position and repair construct

9:45AM - 12:45PM Elbow Case Sessions (Groups 4, 5, 6)

Elbow Fracture Dislocations - Dr. J Pollock & Dr. James Dubberly

Describe current concepts of fracture dislocations of the elbow with a focus on identifying injury patterns, surgical approach and repair techniques; Demonstrate a sound and rational approach to surgical decision making as it relates specific injury patterns; Describe the clinical evidence to support different repair strategies and possible implications of each.

Debrief Room 1

Elbow Ligament Injuries - Dr. Graham King & Dr. Christian Veillette Review clinical assessment and examination of these injuries.; Apply treatment decision making with reference to prognostic factors and biomechanical evidence; Describe the rationale and techniques of soft tissue/ligament repair

Debrief Room 2

Distal Humeral Fractures - Dr. Kenneth Faber & Dr. Steve Papp Describe prognostic factors, including fracture characteristics and fracture patterns; Review the current evidence for operative or non-operative management of DHFs, demonstrate an approach to treatment decision making and understand expected outcomes; Describe possible surgical complications related to ORIF, Hemi arthroplasty and TEA for fractures, and an approach to their management

Debrief Room 3

12:45PM - 1:45PM Lunch Kaminski Room

1:45PM - 2:00PM Transition to University of Ottawa, Skills and Simulation Centre and Change uOSSC

January 31, 2018

7:00PM - 9:00PM Canadian Shoulder and Elbow Society Course Welcome Reception at Lowertown Brewery (73 York St )

Program & speakers are subject to change


2:00PM– 5:00PM Shoulder Case Sessions (Groups 1, 2, 3)

Cuff - Dr. Jason Old & Dr. Patrick Chin

Describe current concepts involving basic science and the pathophysiology of rotator cuff disease with a focus on prognostic factors and repair strategies; Demonstrate a sound and rational approach to surgical decision making as it relates to cuff pathology; Describe the clinical evidence to support different repair strategies and possible implications of each; Explain the limitations of surgical cuff repair and surgical and non-surgical alternatives to tendon repair

Debrief Room 1

Instability - Dr. Patrick Henry, Dr. Sebastien Zilber & Dr. Peter Lapner

Apply surgical decision making with reference to decision tools that take known prognostic factors into account; Describe the rationale and limitations of soft tissue repair strategies; Describe the rationale and risks of Latarjet repair and other bony procedures

Debrief Room 2

Proximal Humeral Fractures - Dr. Allan Liew & Dr. Darren Drosdowech

List the commonly used classification systems used for radiologic assessment of proximal humeral fractures; Describe prognostic factors, including fracture characteristics and fracture patterns that may predict humeral head perfusion and subsequent AVN; Explain the current evidence for operative or non-operative management of PHFs, demonstrate an approach to surgical decision making and to understand expected surgical outcomes; Describe possible surgical complications related to ORIF and arthroplasty for fractures, and an approach to their management

Debrief Room 3

2:00PM - 5:00PM Wet Lab: Elbow Arthroscopy (Groups 4, 5, 6) - Dr. J Pollock Large Skills Room

Dr. Ryan Bicknell Dr. Kenneth Faber Dr. Aaron Bois Dr. Graham King Dr. Jonah Davies Dr. Meaghan Rollins Dr. James Dubberly Dr. Christian Veillette Identify and mark key bony landmarks, including portal sites, around the elbow; Carry out a diagnostic arthroscopy and identify key anatomic structures; Evaluate and practice basic elbow debridement techniques; perform tennis elbow release, anterior and posterior capsular release, osteochondralplasty, and radial head excision; Perform lateral EDC and Kocher Approach; Perform medial pronator split and FCU approach; Identify the location and anatomy of the LCL and MCL

5:00PM Shuttle Departs University of Ottawa, Skills and Simulation Centre to Andaz Byward Market Hotel (325 Dalhousie St)

7:00PM Canadian Shoulder and Elbow Society Course Dinner at the Andaz Byward Market Hotel Dalhousie Suite

February 2, 2018


7:15AM Breakfast and Registration Kaminski Room

7:50AM Transition to the Ottawa Hospital Amphitheatre

7:55AM Welcome and Introductions Amphitheatre

8:00AM Shoulder RTC / Instability - Moderated by Dr. Peter Lapner Amphitheatre

8:00AM - 8:20AM 8:20AM - 8:40AM 8:40 AM- 9:10AM

Update on RTC Tears - Dr. Peter Lapner Describe current concepts involving basic science and the pathophysiology of rotator cuff disease with a focus on prognostic factors and repair strategies; Demonstrate a sound and rational approach to surgical decision making as it relates to cuff pathology; Describe the clinical evidence to support different repair strategies and possible implications of each; Explain the limitations of surgical cuff repair and surgical and non-surgical alternatives to tendon repair Update on Shoulder Instability - Dr. Danny Goel Apply surgical decision making with reference to decision tools that take known prognostic factors into account; Describe the rationale and limitations of soft tissue repair strategies; Describe the rationale and risks of Latarjet repair and other bony procedures Discussion and Case Presentations - Dr. Peter Lapner

9:10AM - 9:30AM Refreshment Break Kaminski Room




9:45AM - 12:45PM Elbow Case Sessions (Groups 1, 2, 3)

Elbow Fracture Dislocations - Dr. J Pollock & Dr. James Dubberly

Describe current concepts of fracture dislocations of the elbow with a focus on identifying injury patterns, surgical approach and repair techniques; Demonstrate a sound and rational approach to surgical decision making as it relates specific injury patterns; Describe the clinical evidence to support different repair strategies and possible implications of each.

Debrief Room 1

Elbow Ligament Injuries - Dr. Graham King & Dr. Christian Veillette Review clinical assessment and examination of these injuries. Apply treatment decision making with reference to prognostic factors and biomechanical evidence; Describe the rationale and techniques of soft tissue/ligament repair

Debrief Room 2

Distal Humeral Fractures - Dr. Steve Papp & Dr. Kenneth Faber Describe prognostic factors, including fracture characteristics and fracture patterns; Review the current evidence for operative or non-operative management of DHFs, demonstrate an approach to treatment decision making and understand expected outcomes; Describe possible surgical complications related to ORIF, Hemi arthroplasty and TEA for fractures, and an approach to their management

Debrief Room 3

9:45AM - 12:45PM Wet Lab: Cuff/Bankart (Groups 4, 5, 6) - Moderated by Dr. Jason Old Large Skills Room

Dr. Ryan Bicknell Dr. Darren Drosdowech Dr. Allan Liew Dr. Aaron Bois Dr. Danny Goel Dr. David Sheps Dr. Patrick Chin Dr. Patrick Henry Dr. Sebastien Zilber Dr. Jonah Davies Dr. Peter Lapner Identify and mark key bony landmarks, including portal sites, around the shoulder; Carry out a diagnostic arthroscopy and identify key anatomic structures; Insert bone anchors at appropriate locations for instability and rotator cuff repair; Evaluate and practice basic suture management technique required to carry out a shoulder stabilization / cuff repair; Select and employ the proper knot tying tech that is appropriate for specific pathology; select and employ appropriate suture position and repair construct.


1:25PM - 1:45PM Biceps Tenodesis vs Tenotomy - Dr. Jason Old Review indications and associated outcomes, when to select tenodesis or tenotomy; Review surgical technique

Amphitheatre


2:00PM - 5:00PM Wet Lab: Elbow Arthroscopy (Groups 1, 2, 3) - Moderated by Dr. J Pollock Large Skills Room

Dr. Ryan Bicknell Dr. Kenneth Faber Dr. Aaron Bois Dr. Graham King Dr. Jonah Davies Dr. Meaghan Rollins Dr. James Dubberly Dr. Christian Veillette Identify and mark key bony landmarks, including portal sites, around the elbow; Carry out a diagnostic arthroscopy and identify key anatomic structures; Evaluate and practice basic elbow debridement techniques; perform tennis elbow release, anterior and posterior capsular release, osteochondralplasty, and radial head excision. Perform lateral EDC and Kocher Approach. Perform medial pronator split and FCU approach. Identify the location and anatomy of the LCL and MCL

2:00PM– 5:00PM Shoulder Case Sessions (Groups 4, 5, 6)

Cuff - Dr. Darren Drosdowech & Dr. David Sheps Describe current concepts involving basic science and the pathophysiology of rotator cuff disease with a focus on prognostic factors and repair strategies; Demonstrate a sound and rational approach to surgical decision making as it relates to cuff pathology; Describe the clinical evidence to support different repair strategies and possible implications of each; Explain the limitations of surgical cuff repair and surgical and non-surgical alternatives to tendon repair

Debrief Room 1

Instability - Dr. Danny Goel & Dr. Sebastien Zilber Apply surgical decision making with reference to decision tools that take known prognostic factors into account; Describe the rationale and limitations of soft tissue repair strategies; Describe the rationale and risks of Latarjet repair and other bony procedures

Debrief Room 2

Proximal Humeral Fractures - Dr. Diane Nam & Dr. Patrick Henry List the commonly used classification systems used for radiologic assessment of proximal humeral fractures; Describe prognostic factors, including fracture characteristics and fracture patterns that may predict humeral head perfusion and subsequent AVN; Explain the current evidence for operative or non-operative management of PHFs, demonstrate an approach to surgical decision making and to understand expected surgical outcomes; Describe possible surgical complications related to ORIF and arthroplasty for fractures, and an approach to their management

Debrief Room 3


5:30PM CSES Business Meeting (Faculty Only)


February 3, 2018


7:15AM Breakfast and Registration Kaminski Room

7:45AM Transition to the Ottawa Hospital Amphitheatre

7:50AM Welcome Back - Dr. J Pollock Amphitheatre

8:00AM Arthroplasty in Shoulder Arthritis - Moderated by Dr. Darren Drosdowech Amphitheatre

8:00AM - 8:20AM 8:20AM - 8:40AM 8:40AM - 9:00AM

TSA in Primary OA: Indications and Outcomes - Dr. Diane Nam Describe an approach to the arthritic glenoid and explain how technique and approach may alter survivorship; Describe the expected clinical outcomes, risks and complications with a rational approach to management Reverse Shoulder Arthroplasty: Current Indications and Outcomes - Dr. Ryan Bicknell Describe the design rationale for reverse arthroplasty; Describe the current indications and limitations/risks of the implants; Explain the expected clinical outcomes and a rational approach to management Arthrodesis and Other Ancient Procedures: Is There a Role in 2018 - Dr. Robin Richards Determine the role of arthrodesis and ancient procedures in 2018

9:00AM - 9:40AM Case-Based Panel Discussion: Difficult Cases in Shoulder Arthroplasty - Dr. Kenneth Faber Amphitheatre

9:40AM - 9:55AM Nutrition Break uOSSC


10:00AM - 12:00PM TSA Wet Lab (Groups 1, 2, 3) - Dr. J Pollock Large Skills Room

Dr. Frederic Balg Dr. Patrick Henry Dr. Steven Papp Dr. Patrick Chin Dr. Duncan MacKinlay Dr. David Sheps Dr. Darren Drosdowech Dr. Diane Nam Dr. Sebastien Zilber Dr. Kenneth Faber Perform a deltopectoral approach, Describe options for subscapularis management, and perform a subscapularis release using a particular technique, Perform humeral preparation and implantation of a prosthesis, to perform glenoid exposure, bony preparation, and implantation of a glenoid component

12:00PM - 1:00PM Test Your Shoulder IQ (Groups 1, 2, 3) - Dr. Diane Nam Small Skills Room

Answer questions on the workup, diagnosis, and treatment of common shoulder conditions including shoulder instability, arthritis, trauma, and rotator cuff disease

10:00AM - 1:00PM Case Session (Groups 4, 5, 6)

Primary OA - Dr. Christian Viellette & Dr. Jonah Davies Describe the design concepts of 3rd generation implants and their theoretical advantage; Describe an approach to the arthritis glenoid and explain how technique and approach may alter survivorship; Describe the expected clinical outcomes, risks and complications with a rational approach to management

Debrief Room 1

Cuff Tear Arthropathy - Dr. Ryan Bicknell & Dr. Peter Lapner Describe the design rationale for reverse arthroplasty, Describe the current indications and limitations/risks of the implants, Explain the expected clinical outcomes and a rational approach to management

Debrief Room 2

Complications in Shoulder Arthroplasty - Dr. Robin Richards, Dr. Danny Goel & Dr. Aaron Bois Describe the common complications encountered in shoulder arthroplasty, Describe a rational approach to management of complications in shoulder arthroplasty; Explain the expected clinical outcomes of reverse shoulder arthroplasty and a rational approach to management to rotator cuff tear arthropathy

Debrief Room 3




2:00PM - 5:00PM Case Session (Groups 1, 2, 3)

Primary OA - Dr. Patrick Henry & Dr. Diane Nam Describe the design concepts of 3rd generation implants and their theoretical advantage; Describe an approach to the arthritis glenoid and explain how technique and approach may alter survivorship; Describe the expected clinical outcomes, risks and complications with a rational approach to management

Debrief Room 1

Cuff Tear Arthropathy - Dr. Patrick Chin & Dr. David Sheps Describe the design rationale for reverse arthroplasty, Describe the current indications and limitations/risks of the implants, Explain the expected clinical outcomes and a rational approach to management

Debrief Room 2

Complications in Shoulder Arthroplasty - Dr. Kenneth Faber & Dr. Darren Drosdowech Describe the common complications encountered in shoulder arthroplasty, Describe a rational approach to management of complications in shoulder arthroplasty; Explain the expected clinical outcomes of reverse shoulder arthroplasty and a rational approach to management to rotator cuff tear arthropathy

Debrief Room 3

2:00PM - 4:00PM TSA Wet Lab (Groups 4, 5, 6) - Moderated by Dr. Ryan Bicknell Large Skills Room

Dr. Frederic Balg Dr. Peter Lapner Dr. Meaghan Rollins Dr. Aaron Bois Dr. Duncan MacKinlay Dr. Christian Veillette Dr. Jonah Davies Dr. Steven Papp Dr. Sebastien Zilber Dr. Danny Goel Dr. Robin Richards Perform a deltopectoral approach, Describe options for subscapularis management, and perform a subscapularis release using a particular technique, Perform humeral preparation and implantation of a prosthesis, to perform glenoid exposure, bony preparation, and implantation of a glenoid component

4:00PM - 5:00PM Test Your Shoulder IQ (Groups 4, 5, 6) - Dr. Meaghan Rollins Small Skills Room

Answer questions on the workup, diagnosis, and treatment of common shoulder conditions including shoulder instability, arthritis, trauma, and rotator cuff disease


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Thank you to our sponsors for their support of the 2018 program!


https://twitter.com/CME_uOttawa

2018 anadian Shoulder and Elbow Society Residents ourse ... · and limitations of soft tissue repair strategies; Describe the rationale and risks of Latarjet repair and other bony

Documents