Nordic Shoulder and Elbow Conference

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8th Triennial Nordic Shoulder and Elbow Conference 16-17 May 2019 International faculty COURSE CHAIRMAN: Ilkka Sinisaari VENUE: Clarion Hotel, Helsinki, Tyynenmerenkatu 2, Helsinki PROGRAMME

NORDIC SHOULDER AND ELBOW CONFERENCE Faculty TEPPO JÄRVINEN CECILIE SCHRODER SIMO TAIMELA IMRAN SAJID LIONEL NEYTON KARL WIESER TAPIO FLINKKILÄ MIKKO SALMELA TORE FJAELESTAD KAISA, VIRTANEN LASSE RÄMÖ BO OLSEN TONI LUOKKALA ADRIAN SAYERS JEPPE RASMUSSEN RANDI HOLE VILLE ÄÄRIMAA BJÖRN SALOMONSSON ANTTI JOUKAINEN OLIVER VERBORGT ANDERS EKELUND JUHA PALONEVA TERESA HOLMGREN JEREMY LEWIS JULIA WALTON Oslo, Norway London, UK Lyon, France Zürich, Schwitzerland Oulu, Finland Oslo, Norway Herlev, Denmark Jyväskylä, Finland Bristol, UK Copenhagen, Denmark Bergen, Norway Turku, Finland Stockholm, Sweden Kuopio, Finland Antwerp, Belgium Stockholm, Sweden Jyväskylä, Finland Linköping, Sweden Hatfield, UK Manchester, UK

Thursday May 16 th 10:00 11:30 Symposium: To believe or not to believe - Scientific evidence vs. clinical practice (Janne Lehtinen, Cecilie Schroder) Sometimes good scientific evidence never finds it s way into clinical practice. Sometimes, clinical practice is based on no scientific evidence, at all. Measuring patient relevant outcomes and knowledge translation from research into clinical practice should be one of our core interests. 10:00 10.20 10:20 10:40 10:40 11:00 Efficacy, effectiveness, cost-effectiveness introduction to basics Placebo surgical trials: absolute rubbish or ultimate truth? Treatment effect comparing study groups Teppo Järvinen Cecilie Schroder Simo Taimela 11:00 11:30 11:30 12:30 Why it is so darn difficult to change one s clinical practices Buffet lunch in exhibition Imran Sajid 12:30-14:30 Symposium: When the going gets tough (Treatment plan for tough problems evidence and experience) (Paavola, Lionel Newton) I have not failed. I ve just found 10,000 ways that won t work. - Thomas A. Edison All of us sometimes face difficult situations where the right choice of treatment might not always seem obvious. Sharing the load and learning from others mistakes can ease our passing on that rocky road. 12:30-13:00 13:00-13:30 Glenoid bone loss and arthroplasty where are the limits Posterior shoulder instability and glenoid retroversion Lionel Neyton Karl Wieser

Thursday May 16 th 13:30-13:50 13:50-14:10 14:10-14:30 Revise and reverse - dysfunction and pain after reverse prosthesis Posttraumatic elbow instability when unilateral reconstruction is not enough Discussion Tapio Flinkkilä Mikko Salmela 14:30-15:00 Coffee in exhibition 15:00-16:00 Semi-free papers 16:30-18:00 General assembly in national societies 19:00 Welcome drink and Gala dinner

8:00-10:00 Symposium: Shoulder and elbow fractures trigger point for operative treatment (Juha Paloneva, Tore Fjaelestad) The goal of treatment of shoulder and elbow fractures is to restore function of the affected joint. However, many common indications for operative treatment have been questioned recently and it is not always clear whether radiological and functional outcomes are correlated. The aim of this session is to review current evidence regarding trigger points for operative treatment of fractures of the upper arm. 08:00-08:30 Tuberculum majus fracture Tore Fjaelestad 08:30-08:50 Lateral clavicular fracture Kaisa Virtanen 08:50-09:10 Humeral shaft fracture Lasse Rämö 09:10-09:30 Olecranon fracture in elderly Bo Olsen 09:30-09:50 Radial head fracture Toni Luokkala 09:50-10:00 Discussion 10:30-11:30 Semi-free papers 11:30-12:15 Buffet lunch in exhibition

12:15-13:30 Symposium: From registry data to clinical practice (Ville Äärimaa, Björn Salomonsson) Registries have been criticized on their adaptability on daily clinical practice. In this session we are offering view points on how a shoulder surgeon can use registry data to improve their patient care. 12:15-12:35 12:35-12:50 12:50-13:00 13:00-13:15 13:15-13:30 How to interpret prosthesis survival, what to say to the patient about the risks? What is an acceptable result after a shoulder arthroplasty, what to expect? Are we improving the outcome with our shoulder arthroplasties within NARA? Should we use hemiarthroplasty at all? New emerging treatment options seen through registry eyes. Adrian Sayers Jeppe Rasmussen Randi Hole Ville Äärimaa Björn Salomonsson 13:30-14:30 3D planning and patient specific implants (Antti Joukainen, Anders Ekelund) Numbers of shoulder arthroplasty are rising and the indications for arthroplasties are expanding. Novel technology is available also for patient specific implants and 3D planning. What is the real benefit of these innovations? Are we able to do better surgery with 3D planning, and do we have better implant solutions for complex cases? This session offers an update of advancements in shoulder arthroplasty planning and implant technology. 13:30-13:50 13:50-14:10 B2-gleno and augmented glenocomponent, what are the limits? I have 3d planning, what should I do with it? where to put the gleno component? Lionel Neyton Olivier Verborgt

14:10-14:30 Cuff is intact, when to go primary reverse? Anders Ekelund 14:30-15:30 Semi-free papers Adjourn and coffee PARALLEL SESSION 13:00-14:30 Physiotherapy, exercise or everyday life for shoulder problems (Juha Paloneva, Teresa Holmgren) It is not surgery alone that determines the outcome. This session brings insights in optimal rehabilitation of common shoulder problems. 13:00-13:30 Frozen Shoulder: Don t be left out in the cold Jeremy Lewis 13:30-14:00 Rehabilitation of patient with rotator cuff disease Teresa Holmgren 14:00-14:30 Rehabilitation of patient with shoulder arthroplasty Julia Walton