Mayo Clinic School of Continuous Professional Development

MAYO CLINIC / SIEBENS BUILDINGROCHESTER, MINNESOTAMAY 17–19, 2019PRE-CONFERENCE LAB: MAY 16, 2019

COURSE DIRECTORS: RICHARD A. BERGER, M.D., PH.D., STEVEN L. MORAN, M.D., JAN-RAGNAR HAUGSTVEDT, M.D., PH.D., AND MARCO RIZZO, M.D.

IN COLLABORATION WITH EUROPEAN WRIST ARTHROSCOPY SOCIETY (EWAS)

31.75 AMA

PRA CATEGORY

1 CREDITSTM

CONTROVERSIES IN

WRISTSURGERY& Pre-Conference Lab

Advanced Wrist Arthroscopy

CE.MAYO.EDU/CONTROWRISTSURGERY2019

FOR MORE INFORMATION

COURSE HIGHLIGHTS• Glean the latest advances is arthroscopy and arthroplasty from recognized experts in the field• Learn hands on surgical techniques by attending the pre-course cadaver lab• Cultivate professional interactions with colleagues involved in wrist surgery

INTENDED AUDIENCEThis course is designed for the orthopedic and plastic surgeon with a significant hand practice and covers the spectrum of disorders of the wrist and distal radioulnar joint.

LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to: • Evaluate the latest advancements in surgical and nonsurgical treatments for thumb arthritis• Construct a diagnostic and treatment algorithm for the treatment of scapholunate and

perilunate injuries• Construct a diagnostic and treatment algorithm for ulnar sided wrist pain and DRUJ instability

ONLINE REGISTRATION

REGISTRATION FEES$1,295 Physicians/Scientists$995 Residents, Physician Assistants and Nurse Practitioners$750

Reception – Saturday, May 18, 2019 – 6:00 p.m. Pre-registration required.

MEETING LOCATIONMayo ClinicSiebens Building, Leighton AuditoriumRochester, MN

LODGING & ACCOMMODATIONSSpecial group rates available at downtown Rochester Hotel more details available on course website.

CANCELLATION POLICY Please visit ce.mayo.edu/cancellation for more information.

FACULTYMayo Clinic Faculty Julie E. Adams, M.D.Peter C. Amadio, M.D.Kimberly K. Amrami, M.D.Robert D. Beckenbaugh, M.D.Richard A. Berger, M.D., Ph.D.Allen T. Bishop, M.D.William P. Cooney III, M.D.David G. Dennison, M.D.

Bassem Elhassan, M.D.Steven L. Moran, M.D.Peter M. Murray, M.D.Shelley S. Noland, M.D.Peter C. Rhee, D.O.Marco Rizzo, M.D.Scott P. Steinmann, M.D.

CE.MAYO.EDU/CONTROWRISTSURGERY2019

Pre-Conference Lab – Advance Wrist ArthroscopyOptional add-onMay 16, 2019Stabile Building, 9th Floor

Guest Faculty Gregory I. Bain, FRACS, Ph.D.Modbury Medical CentreNorth Adelaide, South AustraliaTyson K. Cobb, M.D.Orthopaedic SpecialistsDavenport, IAJ. Henk Coert, M.D., Ph.D.University Medical CenterRotterdam, AmsterdamFrancisco del Pinal, M.D., P.h.D. Instituto de Cirugía Plástica y de la ManoSantander, Cantabria, SpainMax Haerle, M.D.University of Brescia Stuttgart, GermanyJan-Ragnar Haugstvedt, M.D.RikshospitaletOslo, NorwayMichael Hayton, FRCS(TrOrth)Wrightington HospitalLancashire, United Kingdom

Guillaume Herzberg, M.D., Ph.D.Edouard Herriot HospitalLyon, FranceP.C. Ho, MBBS, FRCSPrince of Wales HospitalShatin, N.T., Hong KongChristopher Mathoulin, M.D. Institut de la Main Clinique BIZET Paris, FranceMark Ross, MBBS, FRACSBrisbane Private HospitalBrisbane, QLD Australia David J. Slutsky, M.D., FRCSHand & Wrist InstituteTorrance, CaliforniaIan A. Trail, M.D., FRCSWrightington HospitalLancashire, United KingdomJeffrey Yao, M.D.Stanford Health CareRedwood City, CA

THURSDAY, MAY 16, 2019Pre-Conference Laboratory Workshop – Anatomy of the Wrist

6:45 a.m. Pre-Conference Registration and BreakfastLeighton Auditorium, Siebens Building

7:00

Welcome and IntroductionOverall set up and Anatomy, Avoiding ComplicationsSteven L. Moran, M.D., Richard A. Berger, M.D., Ph.D.Stabile Building, 9th Floor

7:10 Ablative Techniques for TFCC, Synovitis and Ligament ShrinkageJeffrey Yao, M.D.

7:20 GanglionectomyToshi Nakamura M.D., Ph.D.

7:30 Radial Styloid Resection, WaferDavid J. Slutsky, M.D.

7:40 TFCC RepairToshi Nakamura M.D., Ph.D.

7:50 Lab Session 1: Portal Placement for Wrist, Ganglionectomy, Synovectomy, Radial Styloidectomy, TFCC Repair

9:50 Break

10:10 SL RepairChristopher L. Mathoulin, M.D.

10:25 Distal Radius FixationJ. Henk Coert, M.D., Ph.D.

10:40 Scaphoid RepairJan Ragnar Haugstvedt, M.D., Ph.D.

10:55 SL RepairChristopher L. Mathoulin, M.D.

12:45 p.m. Working LunchStabile Building, 9th Floor

12:45 Intercarpal FusionsP.C. Ho, MBBS, FRCS

CONFERENCE SCHEDULE

ACCREDITATION In support of improving patient care, this activity is planned and implemented by Mayo Clinic College

of Medicine. Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation

Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education

(ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the

healthcare team.

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 31.75 AMA PRA Category 1

Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

12:55 Perilunate ManagementGuillaume Herzberg, M.D., Ph.D

1:15 CMC & STT ArthroscopyTyson Cobb, M.D.

1:30 Lab session 3: PRC, Scaphoidectomy, Intercarpal Fusion

3:30 Break

3:45 Lab Debrief and More Tips for Distal Radius Fractures and TFCC RepairAll Instructors

4:15 p.m. –6:00 p.m.

AdjournIndustry Demonstrations: MCP Joint Arthroplasty, DRUJ Arthroplasty, Ligament Fixation (Integra, Arthrex, NewClip, Aptis)Optional – No CME Credit

FRIDAY, MAY 17, 2019General Session – Disorders of the Wrist

6:45 a.m. Registration and BreakfastLeighton Auditorium, Siebens Building

7:25 Welcome and IntroductionRichard A. Berger, M.D., Ph.D., Steven L. Moran, M.D., Marco Rizzo, M.D.

SESSION I: ACUTE TRAUMA - SCAPHOIDModerator: Michael Hayton, M.D., FRCS

7:30 Case Presentation, Overview, ClassificationMichael Hayton, M.D., FRCS

7:40 Radiographic Assessment, MRI, CT, or Bone Scan?Kimberly K. Amrami, M.D.

7:55 Blood Supply to the ScaphoidSteven L. Moran, M.D.

8:10 Casting Versus Screw: When and Who: What’s the EvidenceDavid G. Dennison, M.D.

8:25 Arthroscopic Scaphoid Reduction and Screw Fixation: Tips and tricksDavid J. Slutsky, M.D.

8:40 Scaphoid Fractures in the Athlete: When to Fix and When to MoveMichael Hayton, M.D., FRCS

8:55 Dorsal Percutaneous Approach for Acute FracturesSteven L. Moran, M.D.

9:10 A Tribute to Richard Berger, M.D., Ph.D.William P. Cooney, M.D.

9:20 A 30 Year Perspective on the Management of Scaphoid FracturesWilliam P. Cooney, M.D.

9:30Panel Discussion: 2 Cases and 4 OpinionsModerator: Steven L. Moran, M.D., William P. Cooney, M.D.Panel: Michael Hayton, MD, FRCS, Julie E. Adams, M.D., David J. Slutsky, M.D.

10:00 Break

SESSION II: MORE THAN JUST A SCAPHOID FRACTURE? Moderator: Peter C. Rhee, D.O.

10:20 Case Presentation and OverviewPeter C. Rhee, D.O.

10:30 Treatment Following Perilunate Injuries: Pearls to Getting Good ResultsGuillaume Herzberg, M.D., Ph.D.

10:45 Radiocarpal Dislocations David J. Slutsky, M.D.

11:00 Axial Carpal DislocationsSteven L. Moran, M.D.

11:15 Management of Greater Arc Variants/ Lunate Fractures and Carpal Instability Gregory I. Bain, Ph.D., FRCS

11:30 PLIND Guillaume Herzberg, M.D., Ph.D.

11:45 Ulnar Perilunate DislocationPeter M. Murray, M.D.

12:00 p.m. LT Instability: Tips and TicksJan Ragnar Haugstvedt, M.D., Ph.D.

12:15 Arthroscopic Management of Perilunate InjuryJeffrey Yao, M.D.

12:30 Lunch

SESSION III: DISTAL RADIUS FRACTURE Moderator: David G. Dennison, M.D.

1:30 Case Presentation, Overview, ClassificationDavid G. Dennison, M.D.

1:40 Fracture Management as a Component of Training: Who is Better?Peter M. Murray, M.D.

1:55 Volar Plates: LimitationsMarco Rizzo, M.D.

2:10 Fragment Specific Fixation: Show me the Benefit Peter Rhee, D.O.

2:25 Arthroscopic Repair of Complex Fractures: The New Standard?Francisco del Piñal, M.D., Ph.D.

2:40 Bridge Plate or External Fixation. When and WhyPeter C. Rhee, D.O.

2:55 Immediate Hemi Arthroplasty for Intra-Articular FracturesGuillaume Herzberg, M.D., Ph.D.

3:05 Break

SESSION IV: LIGAMENTOUS INJURIES ASSOCIATED WITH DR FRACTURES Moderator: Max Haerl, M.D.

3:30 Assessment and Identification of Soft Tissue Injuries Associated with DRFMax Haerle, M.D.

3:40Reduction of Coronal Plane Translation and Effect on DRUJ Stability in Distal Radius FracturesMarc Ross, M.D.

3:55 Foveal Avulsion and Ulnar Styloid FractureGregory I. Bain, Ph.D., FRCS

4:10 Acute Arthroscopic Management of TFCC InjuryToshi Nakamura, M.D., Ph.D.

4:25 Arthroscopic Management of Partial SLIL Injuries (Geissler 1-3)Jeffrey Yao, M.D.

4:40

Complex DR fractures: 2 Cases and 4 AnswersModerator: Toshi Nakamura, M.D., Ph.D.Panel: Gregory I. Bain, Ph.D., FRCS, Mark Ross, M.D., David G. Dennison, M.D., Jeffrey Yao, M.D.

5:00Total Wrist Replacement Marco Rizzo, M.D.Stabile (Live Video)

6:00 p.m. Adjourn

SATURDAY, MAY 18, 2019General Session – Disorders of the Wrist

6:30 a.m. BreakfastLeighton Auditorium, Siebens Building

SESSION V: CHRONIC LIGAMENTOUS INJURY Moderator: Marc Ross, M.D.

7:00 Case Overview and Historical ProblemsMarc Ross, M.D.

7:10Radiology in the Diagnosis of Radial Sided Wrist Pain. The Validity of MRI and MR ArthrographyKimberly K. Amrami, M.D.

7:25 Scapholunate Injury: Kinematics, Classification and the Role of ProprioceptionGregory I. Bain, M.D., Ph.D., FRCS

7:45 Arthroscopic Options: When Will It Work? Max Haerle, M.D.

8:05 The Role of Therapy in Painful InstabilityJan-Ragnar Haugstvedt, M.D., Ph.D.

8:20 Volar CapsulodesisSteven L. Moran, M.D.

8:30 Tenodesis (Wrightington Experience)Ian A. Trail, M.D., FRCS

8:45 Tenodesis (Brisbane Experience)Marc Ross, M.D.

9:00 Capitohamate BLB RepairToshi Nakamura, M.D., Ph.D.

9:15 Arthroscopic Volar and Dorsal RepairP.C. Ho, MBBS, FRCS

9:30 Refreshment Break

SESSION VI: SCAPHOID NON UNION/ MALUNION Moderator: Peter C. Amadio, M.D.

10:00 Review of Long Term Outcomes and ProblemsPeter C. Amadio, M.D.

10:10 Arthroscopic Management With and Without GraftingP.C. Ho, MBBS, FRCS

10:25 Volar Grafting Techniques: Exposure and Plating of Scaphoid FracturesMichael Hayton, M.D., FRCS

10:40Dorsally and Volar Based Vascularized Bone Grafts: What are the Indications in 2019?Allen T. Bishop, M.D.

10:55 The Medial Femoral CondyleAllen T. Bishop, M.D.

11:10 Hamate Articular AutograftBassem T. Elhassan, M.D.

11:20 Osteochondral GraftingJeffrey Yao, M.D.

11:40

2 Terrible Cases and 4 OpinionsModerator Peter C. Amadio, M.D.Panel: Allen Bishop, M.D., P.C. Ho, MBBS, FRCS, Michael Hayton, M.D., FRCS, Bassem T. Elhassan, M.D.

12:05 p.m. Lunch

SESSION VII: RADIOCARPAL ARTHRITIS Moderator: Jan Ragnar Haugstvedt, M.D., Ph.D.

1:05 Overview Radiocarpal ArthritisJan Ragnar Haugstvedt, M.D., Ph.D.

1:15 4 Corner FusionIan Trail, M.D, FRCS

1:30 Arthroscopic Fusions-Tips and TricksFrancisco del Pinal, M.D.

1:45 Arthroscopic Resection for Management SLAC and SNACTyson Cobb, M.D.

2:00 Radioscapholuante FusionSteven L. Moran, M.D.

2:15 Nonvascularized Articular Bone GraftingJ. Henk Coert, M.D., Ph.D.

2:30 Salvage of Intra-Articular Injury: My ApproachFrancisco del Pinal, M.D.

2:45 Deinnervation Max Haerle, M.D.

3:00 Break

SESSION VIII: SPECIAL TOPIC FOCUS - WRIST REPLACEMENT Moderator: Ian A. Trail, M.D., FRCS, Robert Beckenbaugh, M.D.

3:20 Overview of TWA: Successes and FailuresIan A. Trail, M.D., FRCS

3:35 TWA: My ExperienceGuillaume Herzberg, M.D., Ph.D.

3:50 TWA : My ExperienceMarco Rizzo, M.D.

4:05 Revision TWAJ. Henk Coert, M.D., Ph.D.

SESSION IX: SPECIAL TOPIC FOCUS - KIENBOCK DISEASE: CHANGING CONCEPTS Moderator: Gregory I. Bain, Ph.D., FRCS

4:20 Overview and Major Advancements Over Past 5 YearsGregory I. Bain, Ph.D., FRCS

4:35 Vascularized Grafting: Its Role in 2019Allen T. Bishop, M.D.

4:50 Arthroscopic ManagementDavid J. Slutsky, M.D.

5:05 Is There Anything Better Than Radial Shortening?Ian A. Trail, M.D., FRCS

5:202 Cases and 4 SolutionsModerator: Greg Gregory I. Bain, Ph.D., FRCSPanel: Ian A. Trail, M.D., FRCS, Allen T. Bishop, M.D., David J. Slutsky, M.D.

6:00 p.m.Conference ReceptionMatthews Grand LobbyMayo Building, Street Level

SUNDAY, MAY 19, 2019General Session – Disorders of the Wrist

6:30 a.m. BreakfastLeighton Auditorium, Siebens Building

SESSION X: THUMB ARTHRITIS Moderator: Julie E. Adams, M.D.

7:00 Why do we Look for Better Ways to do This?Julie E. Adams, M.D.

7:15 Trapeziectomy and Ligament Suspension: Still the Gold Standard?Shelley Noland, M.D.

7:30 Arthroscopic Hemi-ResectionScott P. Steinmann, M.D.

7:45 Arthroscopic Techniques for CMC and STTTyson Cobb, M.D.

8:00 CMC ArthroplastyBassem T. Elhassan, M.D.

8:15 CMC in Patients Younger Than 50: What is the Best Option?Julie Adams, M.D.

8:30 Salvage of the Failed CMC ArthroplastyMarco Rizzo, M.D.

8:45

2 CasesModerator: Julie E. Adams, M.D., Robert Beckenbaugh, M.D.Panel: Shelley Noland, M.D. , Scott P. Steinmann, M.D., Tyson Cobb, M.D., Marco Rizzo, M.D., Bassem T. Elhassan, M.D.

9:30 Refreshment Break

SESSION XI: DRUJ INJURY Moderator: Richard A. Berger, M.D., Ph.D.

9:45 Overview of DRUJ StabilityRichard A. Berger. M.D., Ph.D.

10:00 Arthroscopic Management of Ulnocarpal & Ulnar Styloid ImpactionTyson Cobb, M.D.

10:15 DRUJ Instability: 15 Years of experience with the Adams-Berger ProcedureSteven L. Moran, M.D.

10:30 Replacement Ian A. Trail, M.D., FRCS

10:45 Pyrocarbon Hemi-ReplacementBassem T. Elhassan, M.D.

11:00 Total Constrained Implant: The Dutch ExperienceJ. Henk Coert, M.D., Ph.D.

11:15 Revision Following ReplacementMarco Rizzo, M.D.

11:30

2 Terrible CasesModerator: Steven L. Moran, M.D. & Bassem T. Elhassan, M.D.Panel: Richard A. Berger, M.D., Ian A. Trail, M.D., FRCS, Marco Rizzo, M.D., J. Henk Coert, M.D., Ph.D.

12:00 p.m. Adjourn

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