Rotator Cuff Disorders

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Rotator Cuff Disorders An International Balgrist Shoulder Course: Bases, Cases, Discussions, Live Surgeries March 28 th - 30 th, 2019 Balgrist University Hospital, Zurich Course program Balgrist University Hospital

Rotator Cuff Disorders An International Balgrist Shoulder Course: Basics, Cases, Discussions, Live Surgeries Dear colleagues and friends The Balgrist Shoulder Unit is proud to announce and is honored to welcome you to the International Balgrist Shoulder Course 2019. This three-day course will cover the entire spectrum of rotator cuff tears, from etiology to arthroscopic RC repair techniques, from basic science aspects to tendon transfers and from augmented repairs to the latest developments in reverse shoulder arthroplasty. The program includes lectures, case discussions and live surgeries performed by leading international shoulder surgeons. The congress venue, the Balgrist University Hospital is located in the heart of Zurich, the business and cultural center of Switzerland, repetitively selected as city with the world s best quality of life and will take place from 28 to 30 March 2019. You will not only enjoy an outstanding educational experience but also the warm Swiss hospitality with a combination of traditional and modern side events. We are looking forward to welcome you to the Balgrist Shoulder Course 2019! Karl Wieser Dominik Meyer Christian Gerber Under the patronage of: Certified by: Course Chairmen Karl Wieser, Head of Shoulder and Elbow Surgery, Balgrist University Hospital Zurich Dominik Meyer, Senior Consultant Shoulder and Elbow Surgery, Balgrist University Hospital Zurich Honorary Chairman Christian Gerber, Professor and Chairman emeritus, Department of Orthopaedics, University of Zurich, Balgrist University Hospital Zurich Faculty Jens D. Agneskirchner, Consultant, Partner and Chief of Service of GelenkchirurgieOrthopädie Hannover Samy Bouaicha, Senior Consultant Shoulder and Elbow Surgery, Balgrist University Hospital Zurich Andrew Carr, Head Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences & Director Botnar Research Centre, University of Oxford Eugene Ek, Consultant Shoulder Surgeon, Melbourne Orthopaedic Group, Associate Professor, Monash University, Melbourne Bassem T. Elhassan, Orthopedic Surgeon Children s Center, Pediatric and Adolescent Medicine, Orthopaedic Surgery, Mayo Clinic Rochester, Minnesota Laurence Higgins - Chief of Sports Medicine and Shoulder Service, Department of Orthopedic Surgery, Brigham & Women s Hospital Boston Bernhard Jost, Chief of Department, Head of Shoulder and Elbow Surgery, Orthopaedics and Traumatology, Kantonsspital St. Gallen Alexandre Lädermann, Medical Specialist, Orthopaedic Surgery and Traumatology, Centre de l épaule Genève Laurent Lafosse, Shoulder and Upper Limb Extremity Surgery, Clinique Generale Annecy Georg Lajtai, Medical Director, Privatklinik Maria Hilf Klagenfurt Jan Leuzinger, Orthopaedic Surgeon, Etzelclinic, Pfäffikon Teruhisa Mihata, Director Shoulder and Elbow Surgery and Sports Medicine, Department of Orthopedic Surgery, Osaka Medical College Andreas M. Müller, Department Head of Shoulder and Elbow Surgery, University Hospital Basel Christian Pfirrmann, Chief of Radiology, Deputy Medical Director, Balgrist University Hospital Zurich Jess Snedeker, Head of Biomechanics, Balgrist Campus, Zurich Markus Scheibel, Department Head, Shoulder and Elbow Surgery, Schulthess Klinik Zurich Hiroyuki Sugaya, Chairman Sports Medicine & Joint Center, Funabashi Orthopaedic Hospital Olivier Verborgt, Consultant Orthopaedic Surgeon, AZ Monica & Antwerp University Hospital Jon J.P. Warner, Chief, MGH Shoulder Service, Professor of Orthopaedic Surgery, Harvard Medical School, Co-Director, Boston Shoulder Institute Matthias Zumstein, Teamhead & Deputy Director Dept. of Orthopaedics and Traumatology, University of Bern, Inselspital Bern

Thursday, March 28 th, 2019 Topic: Rotator Cuff (RC) repair techniques Thursday, March 28 th, 2019 Topic: Rotator Cuff (RC) repair techniques 08.00 Registration 08.30 Welcome K. Wieser & C. Gerber 08.40 RC (patho-) anatomy and tear pattern G. Lajtai 08.50 RC muscle de- and regeneration D. Meyer 09.00 Osseous anatomy and its influence on RC tear S. Bouaicha 09.10 My preferred clinical and imaging algorithms for C. Gerber identifying and quantifying RC pathologies 09.20 Partial tears: Indications for operative repair and techniques M. Zumstein 09.30 Live surgery: Arthroscopic PASTA repair H. Sugaya 10.00 Case discussion: Partial tears K. Wieser Panel: J. Agneskirchner, G. Lajtai, M. Scheibel, M. Zumstein 10.20-10.40 Coffee break @ industry exhibition 10.40 Midesize tears: What are the indications for operative repair Why and when do I do a single row Why and when do I do a double row B. Jost C. Gerber L. Higgins 11.10 Case discussion: Midesize tear (single vs. double row) S. Bouaicha Panel: C. Gerber, L. Higgins, B. Jost, H. Sugaya 11.30 Live surgery: L. Lafosse Arthroscopic Double Layer Lasso Loop RC repair 12.10-13.30 Lunch @ industry exhibition 13.30 The massive posterosuperior tear: when and how to repair J. Agneskirchner 13.40 Live surgery: Arthroscopic RC repair - massive tear J.P. Warner 14.30 Case discussion: Acromioplasty anterior, lateral, not at all? E. Ek Panel: B. T. Elhassan, C. Gerber, L. Lafosse, T. Mihata 14.50 Indications for suprascapular nerve release in RC repair? A. Müller 15.00 Is pseudo-paralysis a contraindication for RC repair? B. Jost 15.10 Subscapularis tears (diagnosis and reapir) L. Lafosse 15.20 Live surgery: Arthroscopic subscapularis repair C. Gerber 15.50-16.10 Coffee break @ industry exhibition 16.10 Biologically enhanced RC healing M. Zumstein 16.20 Subacromial balloon spacer to protect my RC repair J. Agneskirchner 16.30 What do we do with the biceps tendon? E. Ek 16.40 Natural history of RC tears K. Wieser 16.50 Long term results of RC repairs TBD 17.00 Socio-economic aspects of RC disease and A. Carr its treatment in Europe 17.10 Socio-economic aspects of RC disease and L. Higgins its treatment in the US 17.20 Case discussion: RC repair K. Wieser Panel: A. Carr, H. Sugaya, L. Higgins, JP Warner 18.00 Tour of Balgrist Campus and cocktail reception

Friday, March 29 th, 2019 Topic: Rotator Cuff (RC) augmentation & tendon transfers Friday, March 29 th, 2019 Topic: Rotator Cuff (RC) augmentation & tendon transfers 08.30 The properties of RC tendons J. Snedeker 08.40 Pre- and postoperative evaluation of RC tendons: C. Pfirrmann The radiologists perspective 08.50 Pre- and postoperative evaluation of RC integrity: H. Sugaya The surgeons perspective 09.00 Why do RC repairs fail? A. Lädermann 09.10 RC (re-)repair with patch augmentation: J. Leuzinger My indications, surgical technique and clinical experience 09.20 Should we use patches for RC repair? A. Carr What is the evidence and what do I expect in the future 09.30 The story behind the latissimus dorsi transfer C. Gerber 09.45 Lower trapezius tendon transfer: Biomechanics, B.T. Elhassan indications and technique 10.00-10.20 Coffee break @ industry exhibition 10.20 Live surgery: K. Wieser Artroscopic-assisted latissimus dorsi tendon transfer 11.30 Superior capsular reconstruction (rational and biomechanics) T. Mihata 11.45 Superior capsular reconstruction: Does it heal? M. Scheibel 11.55 Outcome after latissimus dorsi transfer, lower trapezius J.P. Warner transfer and superior capsular reconstruction 12.05-13.30 Lunch @ industry exhibition 13.30 Live surgery: L. Higgins Arthroscopic superior capsular reconstruction 14.40 Partial repair or subacromial balloon for the irreparable tear L. Lafosse 14.50 Case discussion: Irreparable posterior-superior RC tear S. Bouaicha in the young Panel: B.T. Elhassan, B. Jost, T. Mihata, O. Verborgt 15.20-15.40 Coffee break @ industry exhibition 15.40 Pectoralis major tendon transfer for irreparable B. Jost subscapularis tears 15.50 Anterior latissimus dorsi transfer for irreparable D. Meyer subscapularis tears 16.00 Anterior latissimus dorsi transfer: My surgical technique B.T. Elhassan 16.10 Case discussion: Irreparable subscapularis tear G. Lajtai Panel: A. Carr, A. Lädermann, L. Lafosse, J. Leuzinger 16.30 What is the value of RC repair and how should we measure it? J.P. Warner 16.50 The borderline between RC reconstruction and RTSA: C. Gerber Factors which lead me to decide for one or the other 17.00 Case discussion: The irreparable RC tear - borderline cases K. Wieser Panel: M. Scheibel, H. Sugaya, M. Zumstein, J.P. Warner 19.00 Course dinner at the Restaurant Zunfthaus zur Zimmerleuten

Evening program Friday, March 29 th, 2019 We cordially invite you to the reception and dinner at the historical Zunfthaus zur Zimmerleuten. After experiencing a fire in 2007, this medieval guild house with a rich history was completely renovated. Whether in the rustic Küfer room or the magnificent guild hall, you can once again enjoy outstanding, traditional cuisine here featuring many Zürich and Swiss specialties. The historic guild house lies in the center of Zürich right on the River Limmat and offers a lovely view of the Old Town. Zunfthaus zur Zimmerleuten, Limmatquai 40, 8001 Zürich 19.00 Reception 19.30 Dinner Directions From Balgrist: Tram No. 11 (Direction Auzelg) to Stadelhofen, change to Tram No. 15 (Direction Bucheggplatz) to Helmhaus From Zürich Mainstation: Tram No. 4 (Direction Tiefenbrunnen) to Helmhaus Parking available within walking distance at Urania or Hohe Promenade car park. Saturday, March 30 th, 2019 Topic: Reverse Total Shoulder Arthroplasty (RTSA) 08.30 Biomechanics of RTSA: Best position and design of A. Lädermann the humeral component 08.40 Biomechanics of RTSA: Best position and design of M. Zumstein the glenoid component 08.50 Augmented baseplates in RTSA M. Scheibel 09.00 The value and validity of preoperative planning of RTSA J.P. Warner 09.10 (When) do we need patient specific instrumentation in RTSA? O. Verborgt 09.20 Case discussion: RTSA design and planing S. Bouaicha Panel: L. Higgins, A. Lädermann, O. Verborgt, M. Zumstein 09.40 Live Surgery: RTSA using patient specific instrumentation B. Jost 10.40 11.00 Coffee Break @ industry exhibition 11.00 Combined superior capsular reconstruction and anatomical H. Mihata shoulder arthroplasty as alternative to RTSA 11.10 Indication for tendon transfer in RTSA E. Ek 11.20 L episcopo or latissimus dorsi (double incision) transfer? J.P. Warner 11.30 Case discussion: RTSA and tendon transfer K. Wieser Panel: E. Ek, B. Jost, L. Lafosse, J.P. Warner 11.50 RTSA with pedicled pectoralis transfer in patients B.T. Elhassan with deltoid paralysis 12.00 Live Surgery: RTSA and latissimus dorsi transfer C. Gerber 13.00 Closing remarks K. Wieser

Main industry partners and exhibitors: Partners and exhibitors: Information Credits Swiss Society of Orthopaedic Surgery and Traumatology: 16 Credits Course Fee (including mentioned meals, no accommodation) Early Bird CHF 500 (until 31 December 2018) Regular Fee CHF 600 (from 1 Januar 2019) Residents / Trainees CHF 300 Location University of Zurich Balgrist University Hospital Auditorium Christian Gerber Forchstrasse 340 8008 Zürich Switzerland Registration www.balgrist.ch/shouldercourse Information Stefanie Pfister, Coordinator Congresses & Events +41 44 386 38 33, kongresse@balgrist.ch

Universitätsklinik Balgrist Forchstrasse 340 CH - 8008 Zürich T +41 44 386 38 33 F +41 44 386 30 09 kongresse@balgrist.ch www.balgrist.ch