PROGRAM COURSE CHAIRMEN Philippe Collin Alexandre Lädermann Lionel Neyton Follow us on Facebook www.valdisereshoulder.com / Contact: info@valdisereshoulder.com
Édito ÉDITIO Dear Friends It is a great pleasure to invite you to the 2019 Val d Isère Shoulder Course. This 11 th edition will take place in the newly and beautifully restyled Centre des Congrès with its whole team ready to welcome you in a friendly atmosphere. The amazing field of shoulder surgery and arthroscopy is in continuing evolution and world famous experts will be there to discuss with you and update your knowledge. The Faculty will this year introduce new speakers beside historical leaders. Shoulder anterior instability is rich of many procedures to treat our patients (Latarjet, Bankart, Eden Hybinette), all of them being performed arthroscopically. In addition, re-visited Trillat procedure is now back on stage (why and how?). Rotator cuff pathology care benefits from various options and questions still arise: Repairs (knotted or knotless?), tendon transfers (when? under scope?), SCR (what the hell!?) and biology (is this really useful?). Imaging techniques take an increasing importance in our routine practice. What s new in this field? How to and when use ultrasound? (don t miss live ultrasound workshop!) Many other topics will be screened and the place of arthroscopy discussed. Apart from other meetings, the Val d Isère Shoulder Course will allow you to attend true fights (under the supervision of a referee ) and you will design the winner. You can also expect to be chosen to come up on the stage and be an invited Faculty because we learn from each other through discussions! Once again, the outstanding Val d Isère resort, heart of the French Alps, will welcome you from January 20 th to 25 th for the unique Val d Isère Shoulder Course! See you soon! Lionel Neyton, Alex Lädermann and Philippe Collin Course chairmen Opening ceremony OPENING CEREMONY Sunday 20 th January 2019 04:00-7:00 PM 04:00-05:00 PM NEW TECHNOLOGIES Chairman: Calvo Is planification, navigation, augmented reality relevant in arthroscopic shoulder surgery? Demo Hololens Lädermann 15 Shoulder imaging. What s new in shoulder imaging (MRI, AI, US and elastography)? Kolo 15 Office arthroscopy: is this the future? Dines 5 Discussion Collin/Kolo/Dines/Sugaya/Funk/Vuillemin/Participant 15 5:00-5:20 PM ULTRASOUND Chairman: Funk : Who is actually using US in clinic? Debate: US performed by the surgeon Clavert/Savoie vs by the radiologist Kolo/Vuillemin 15 05:20-6:30 PM DATABASE AND BIG DATA Chairman: Funk Debate: Local but shared Roman Collin vs Institutional Sirveaux vs National Gerber vs Own by scientific societies vs Own by companies Denard 30 FACULTY ATHWAL GEORGE (Canada) BARTH JOHANNES (France) BOILEAU PASCAL (France) CALVO EMILIO (Spain) CASTAGNA ALEX (Italy) CLAVERT PHILIPPE (France) COLLIN PHILIPPE (France) DENARD PATRICK (USA) DINES JOSHUA (USA) EL HASSAN BASSEM (USA) FUNK LENN (England) GERBER CHRISTIAN (Switzerland) GODENECHE ARNAUD (France) JIANG CHUNYAN (China) KANY JEAN (France) LAEDERMANN ALEXANDRE (Switzerland) LAFOSSE LAURENT (France) MEYER DOMINIQUE ( Switzerland) NEYTON LIONEL (France) NOURISSAT GEOFFROY (France) PALADINI PAOLO (Italy) PROVENCHER MATT (USA) SAVOIE FELIX (USA) SCHEIBEL MARKUS (Germany) SIRVEAUX FRANCOIS (France) SUGAYA HIRO (Japan) VALENTI PHILIPPE (France) VERBORGT OLIVIER (Belgium) WARNER JP (USA) Discussion: Big data and artificial intelligence. When will we be all unemployed? What will change? Nourissat 20 6:30-7:00 PM Social media (Academia, Researchgate, Vumedi) A necessary evil? Warner 1 2
Rotator cuff pathology /1 ROTATOR CUFF PATHOLOGY / I Monday 21 rd January 2019 8:00-10:45 AM 08:00-09:30 AM 8:00-8:50 LONG HEAD BICEPS Chairman: Lafosse MRI vs US in LHB pathology Kolo 8 Biceps pathology in the groove. Myth or reality? Dines 5 Fight Biceps and supraspinatus repair 15 Referee Lafosse Reasons to keep it Godenèche Reasons to remove it Funk Who s your winner? Debate #1 Postoperative Popeye sign Not acceptable in USA Provencher 5 Patients don t car in Brittany Collin 5 Who do you agree with? 2 Debate #2 Interference screw fixation: Why is still use it? Boileau 5 Why I stopped Denard 5 8:50-9:05 Relive Surgery : The lasso-loop biceps tenodesis technique Lafosse 5 Relive Surgery: Interference screw fixation in the groove Neyton 5 Relive Surgery: Subpectoralis tenodesis Denard 5 9:05-9:30 Clinical Case Discussion #1 10 Biceps tenodesis failure. Case presentation How to manage? Discussion (animated by Romeo) Boileau/Provencher/Godenèche/Denard/Collin/ Participant What I did... 09:45-10:45 AM SUBSCAPULARIS TEARS Chairman: Athwal US of anterior impingement Relive Vuillemin 5 US of subscapularis tears Relive Scheibel 5 Digitation sign. A new MRI diagnostic sign Neyton 5 9:45-10:10 Relive Surgery A new (Fussi) lesion Lädermann 5 Relive Surgery Hidden lesion: don t miss the subscapularis Detachment from lesser tuberosity Neyton 5 10:10-10:25 Fight Upper third subscapularis lesion 15 Referee: Athwal I repair Sugaya Biceps tenodesis is enough Boileau Who s your winner? 10:25-10:45 Clinical Case Discussion #1 10 Subscapularis lesions Clinical case presentation Athwal How to manage? Discussion Lädermann/Vuillemin/Denard/Participant Clinical Case Discussion #2 10 Pain in the groove after interference screw tenodesis. Case presentation Denard How to manage? Discussion (animated by Denard) Boileau/Provencher/Godenèche/Collin/ Participant What I did...denard Clinical Case Discussion #2 10 Comma sign Case Presentation: Jiang How to manage? Discussion Boileau/Scheibel/Neyton/Athwal/Participant 3 4 Rotator cuff pathology /2 ROTATOR CUFF PATHOLOGY / II Monday 21 rd January 2019 5:00-07:00 AM 05:00-5:45 PM IRREPARABLE SUBSCAPULARIS TEARS Chairman: Castagna What do they complain about (loss of strength, pain?...) Paladini 5 Debate#1 Retracted subscapularis with stage 4 fatty infiltration They need a transfer El Hassan 5 They don t need any transfer! Boileau 5 Relive surgery Open Latissimus Dorsi transfer El Hassan 5 Relive surgery Arthroscopic Latissimus Dorsi transfer Kany 5 Relive surgery Pectoralis major transfer Scheibel 5 Clinical Case Discussion #1 10 Case presentation Castagna How to manage? Paladini/Kany/Collin/El Hassan/Boileau/Participant 05:45-6:30 PM MODERN MANAGEMENT OF POSTERO-SUPERIOR TEARS Chairman: Lädermann US live demonstration (US guinea pigs Savoie/Lädermann) Vuillemin/Kolo 10 Critical analysis of Bigliani s classic article: Morphology of the acromion and its relationship to rotator cuff tears Orthop Trans 10:228, 1986 Zumstein 5 Critical analysis of the Lancet acromioplasty paper Barth 5 Discussion Zumstein/Barth/Clavert/Gerber/Participant 10 What is more important today about the acromion? CSA, inclination, GT angle or none of these guys? Sirveaux 5 Clinical case Discussion #1 10 Case presentation Lädermann What s your option? Discussion Zumstein/Barth/Gerber/Clavert/Participant 06:30-7:00 PM POSTOPERATIVE CARE, COMPLICATIONS AND FAILURES Chairman: Sirveaux Rehabilitation: state of the art. Postoperative care and rehabilitation. Sling vs nothing? Standard vs balneo Lädermann 5 Debate: Paladini/Godenèche/Calvo/Denard/Participant 10 Should we use the Sugaya classification? Debate Paladini/Godenèche/Calvo/Denard/Participant 10 Isolated supraspinatus tear Single row / Double row / Triple row / No row No surgery? Do not vote. We don t care! Let s speak of that with a drink at the Blizzard!
Rotator cuff pathology /3 ROTATOR CUFF PATHOLOGY / III Tuesday 22 th January 2019 08:20-10:00 AM 08:20-9:20 AM «PSEUDOPARALYTIC» SHOULDER Chairman: Gerber Introduction and state of the art Collin 10 Debate about the true definition El Hassan/Jiang/Provencher/Denard/Collin/Participant 10 Rotator cuff pathology /4 ROTATOR CUFF PATHOLOGY / IV Tuesday 22 th January 2019 05:00-07:00 PM 05:00-07:00 PM TENDON TRANSFERS FOR POSTEROSUPERIOR LESIONS LATISSIMUS DORSI TRANSFER Chairman: Collin How do I do? Relive surgery Gerber 5 / Kany 5 / Lafosse 5 Discussion 15 09:20-10:00 AM Alternative: Lower Trapezius transfer Relive surgery: Arthroscopic assisted Lower Trapezius transfer. How do I do? Valenti 5 / El Hassan 5 Discussion 10 IRREPARABLE (NOT PSEUDOPARALYTIC) ROTATOR CUFF TEAR State of the art: Nourrissat 5 ISOLATED LOSS OF ACTIVE EXTERNAL ROTATION Chairman: Scheibel What is this? Clinical presentation Boileau 5 What can we do? Results of the open l Episcopo procedure Neyton 5 MRI and head migration. How to analyse? Kolo 5 How to analyze Fatty infiltration? Kolo 5 Discussion 15 Nourrissat/Kolo/Jiang/Vuillemin/Participant Fight Tendons transfers 15 Referee: Calvo Transfers are «the solution» for irreparable and or pseudoparalytic posterosuperior cuff tear El Hassan Tendons transfers are useful when you don t need it Collin Who s your winner? What is the SCR rationale? Funk 5 REVERSE SHOULDER ARTHROPLASTY AND MASSIVE ROTATOR CUFF TEAR Chairman: Denard SCR alone or together with repair? Provencher 5 Relive surgery SCR 5 Debate 10 I will do it Sugaya I will not Verborgt What are my indications Clavert 5 Results in young patient population Gerber 5 Clinical case discussion 15 Castagna/Sirveaux/Nourissat/Zumstein/Participant When should we add a LDT? Collin Debate: Collin/Lädermann/Valenti/Neyton/Participant Alternative to dermal allograft: Preliminary results of the Chinese way Barth 5 Fight Inspace Balloon 15 Referee Athwal better in the air Boileau than in shoulder Lafosse? Who s your winner? Fight Humeral head can be recentered 15 Referee: Nourissat Sometimes Savoie No Way Gerber Who s your winner? 5 6
Rotator cuff pathology /5 ROTATOR CUFF PATHOLOGY / V Wednesday 23 th January 2019 08:00-10:15 AM 08:00-08:30 AM HEALING PROCESS Chairman: Zumstein Debate Number of preoperative injections, smokers, drinkers & cholesterol I do care Sirveaux 5 I don t care Calvo 5 Posterior instability POSTERIOR INSTABILITY Wednesday 23 th January 2019 05:00-07:00 PM 05:00-06:20 PM POSTERIOR INSTABILITY Chairman: Nourissat SOFT TISSUE PROCEDURES Reverse Hill-Sachs remplissage. Concept and re-live surgery Kany 5 Reverse Hill-Sachs remplissage. Another way. Concept and re-live Godenèche 5 Posterior Bankart procedure in 2019 Athwal 5 Rotator interval closure Savoie 5 Fight Biology in Rotator cuff repairs. Is there still a place? 10 Referee: Zumstein Nothing works Verborgt It does work Dines who is the winner Discussion 10 Sirveaux/Dines/Calvo/Provencher/Verborgt/Participant Clinical case discussion Case presentation Discussion 10 Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Participant BONE BLOCK PROCEDURE Re-live surgery: Anterior approach through the rotator interval Barth 5 Re-live surgery: Open Posterior approach Lafosse 5 Re-live surgery: Open acromial pediculated bone-block. Sirveaux 5 08:30-09:50 AM Clinical case discussion Case presentation Discussion 20 Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Sirveaux/Participant SHOULDER AND SPORT - SLAP LESION Chairman: Savoie 06:20-07:00 PM Debate #1 A specific baseball pitcher pathology? A lot of pitchers, a lot of SLAP lesions! Savoie 5 No pitchers, (almost) no SLAP! Godenèche 5 Discussion 15 Dines/Godenèche/Jiang/Schröder/Participant POSTEROSUPERIOR GLENOID IMPINGEMENT Chairman: Jiang Debate #2 SLAP lesion: How to treat? LHB Tenodesis Jiang 5 Repair Dines 5 Sham surgery works too! Schröder 5 STERNO-CALVICULAR JOINT Chairman: Valenti Degenerative and unstable. I prefer soft tissue procedure. Relive surgery Dines 8 I prefer osteotomy. Relive surgery Gerber 8 Clinical presentation and discussion Neyton/Paladini/Provencher/Denard/Participant Clinical case presentation Europe (Handball) Neyton 5 Clinical case presentation US (Pitcher) Dines 5 Discussion 10 Dines/Neyton/Funk/Participant Swimmer Shoulder 5 Para-labral cysts: isolated labral repair Schröder 5 09:50-10:15 AM WHY DO WE NEVER SPEAK ABOUT SCAPULA? Chairman: Paladini Dyskinesia El Hassan 10 Long thoracic nerve release: Clavert 5 Snapping scapula Denard 5 How to treat a pathologic scapula? Different techniques for different pathologies Athwal 10 Discussion El Hassan/Clavert/Barth/Athwal/Participant 7 8
Acromio-clavicular joint and fractures Anterior instability 1 ACROMIO-CLAVICULAR JOINT AND FRACTURES Thursday 24 th January 2019 08:00-10:10 AM 08:00-09:00 AM ACROMIO-CLAVICULAR JOINT Chairman: Funk Fight Should we operate on acute AC joint dislocations? 15 Referee: Funk Yes Scheibel 5 No Zumstein 5 who is the winner Debate Allo, auto grafts or synthetic AC reconstructions 20 Scheibel/Zumstein/Barth/Sugaya/Participant Clinical cases discussion How to manage chronic AC joint dislocations, recurrences and complications Case presentation: Funk Scheibel/Zumstein/Barth/Participant 20 09:20-10:10 AM FRACTURES Chairman: Verborgt Relive surgery of glenoid fracture Scheibel 20 Tuberosity fractures. How do I manage? Jiang 5 Clinical cases discussion Case presentation: Verborgt Calvo/Castagna/El Hassan/Jiang/Kany/Participants 20 Anterior instability I ANTERIOR INSTABILITY I Thursday 24 th January 2019 05:00-07:15 PM 05:00-05:30 PM ANTERIOR INSTABILITY Chairman: Boileau Update on anterior instability lesions (What are we talking about?) Glenoid side Bankart, Bony Bankart, ALPSA, GLAD lesions, fractures, erosions Imaging assessment Sugaya 5 Humeral side: Small, deep, large Hills-Sachs? Imaging assessment Jiang 5 Clinical cases Sugaya/Jiang/Boileau/Verborgt/Funk/Participant 20 05:30-06:00 PM ANTERIOR INSTABILITY AND BONE LOSS Chairman: Scheibel What are the options? Distal tibia allograft/eden Hybinette/Latarjet/distal clavicle Verborgt 7 Relive surgery: #1 @Distal Clavicle 3 / #2 Distal Tibia Allograft Provencher 3 Clinical cases discussion 15 Case presentation: Verborgt/Athwal/Provencher/Collin/Participant 06:00-06:15 PM HUMERAL BONE LOSS RECONSTRUCTION Chairman: Dines What are the options? (update on humeral bone loss management options Castagna 5 Relive surgery: #1: Humeral Head Allograft Gerber 3 / #2: Hill Sachs Remplissage Dines 3 Discussion 4 06:15-06:45 PM BIPOLAR DEFECTS Were you on or off the track today? Chaiman: Dines Shoulder instability in the setting of bipolar (glenoid and humeral head) bone loss: the glenoid track concept Provencher 5 Fight Glenoid Track 15 Referee: Dines I believe in the track concept Sugaya I don t care Funk Who is the winner Discussion and vote 06:45-07:15 PM ANTERIOR INSTABILITY AND HYPERLAXITY Chaiman: Sugaya Update on hyperlaxity and instability. Valenti 5 Ehler-Danlos. How do I diagnose? How do I manage? Nourrissat 5 Clinical Case discussion 15 Case Presentation: Valenti/Boileau/Gerber/Barth/Participant 9 10
Anterior instability II ANTERIOR INSTABILITY II Friday 25 th January 2019 08:00-10:00 AM 08:00-09:00 AM ANTERIOR INSTABILITY AND ROTATOR CUFF TEAR Chaiman: Funk Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. Godenèche 5 Update on associated rotator cuff tears and anterior instability in young active patients Savoie 5 Fight Instability and cuff tear #1 10 Referee: Clavert Instability repair and cuff repair Lafosse (relive surgery) @Trillat procedure Neyton (relive surgery) Discussion: Savoie/Lafosse/Denard/Participant 15 Update on rotator cuff tears and anterior instability in older patients Calvo 5 DAS ANOTHER CRAZY FRENCH IDEA Rationale and biomechanices Lädermann 5 Relive Surgery Collin 5 Discussion: What do you think about it? Lafosse/Boileau/Collin/Lädermann 10 09:00-10:00 AM ARTHROSCOPIC LATARJET Chairman: Jiang Update on the results Barth 5 Fight Arthroscopic Latarjet #1 10 Referee: Jiang Screw fixation w/o guide Lafosse 5 Endobutton fixation with guide Valenti 5 Debate illustrated with relive surgery animated by Jiang 15 Lafosse/Boileau/Barth/Valenti/Participant Fight Arthroscopic Latarjet #2 10 Referee: Collin Why I keep on going Athwal Why I stopped Castagna Adverse event in arthroscopy: how to manage? Lafosse 20 US WORKSHOP - SONOSKILLS From Monday to Thursday Morning & Afternoon session ONLY ON RESERVATION US WORKSHOP SCHEDULE Thanks to our US Workshop you will have an opportunity, during the 11th. Val d Isère Shoulder Arthroscopy Congress, to gain a first experience in Shoulder Ultrasound under the supervision of a SonoSkills trainer. In order to ensure quality, we will accept a maximum of 3 participants per available US system, meaning seats are limited to 15 participants per Workshop session. After getting the basic knowledge you need to be able to read the US image, you will be able to practice shoulder protocols for about 1 hour. The daily topics are set in close relation to the congress program, although other structures / transducer position could be seen on participant s demand. Morning session Afternoon session Monday 21st 10:45 12:00 5:45 17:00 Tuesday 22nd 10:00 11:15 15:45 17:00 Wednesday 23rd 10:15 11:30 15:45 17:00 Thursday 24th 10:10 11:25 15:45 17:00 CONGRESS SPONSORS The organization committee thanks the following sponsors for their support 11 12
Val d Isère Congrès Frédéric CRETIN / Gaëlle BUSI Route de la Face 73150 Val d Isère +33 4 79 06 21 23 www.shouldercourse.com info@valdisereshoulder.com