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? 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 Discussion Collin/Kolo/Dines/Sugaya/Funk/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 15 05:20-6:30 PM DATABASE AND BIG DATA Chairman: Funk Debate: Local but shared 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) ZUMSTEIN MATTHIAS (Switzerland) Discussion: Big data and artificial intelligence. When will we be all unemployed? What will change? Nourissat 20 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 OF THE 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 12 Referee Lafosse Reasons to keep it Godenèche 5 Reasons to remove it Funk 5 Who s your winner? 2 Debate #1 12 Postoperative Popeye sign Not acceptable in USA Dines 5 Patients don t care in Brittany Collin 5 Who do you agree with? 2 Debate #2 12 Interference screw fixation: Why I still use it Boileau 5 Why I stopped Denard 5 Who do you agree with? 2 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: Paladini 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 Who s your winner? 2 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 Paladini How to manage? Castagna/Kany/Collin/El Hassan/Boileau/Participant 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 Lafosse How to manage? Discussion Boileau/Dines/Godenèche/Denard/Collin/ Participant What I did... Clinical Case Discussion #2 10 Pain in the groove after interference screw tenodesis. Case presentation Denard How to manage? Discussion Boileau/Dines/Godenèche/Collin/ Participant What I did... 05:45-6:30 PM MODERN MANAGEMENT OF POSTERO-SUPERIOR TEARS Chairman: Lädermann US live demonstration (US guinea pigs Savoie/Lädermann) 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 09:30-10:30 AM SUBSCAPULARIS TEARS Chairman: Athwal 9:30-9:55 US of anterior impingement Relive Kolo 5 US of subscapularis tears Relive Scheibel 5 Digitation sign. A new MRI diagnostic sign Neyton 5 Relive Surgery A new (Fussi) lesion Lädermann 5 Relive Surgery Hidden lesion: don t miss the subscapularis Detachment from lesser tuberosity Neyton 5 9:55-10:10 Fight Upper third subscapularis lesion 15 Referee: Athwal I repair Sugaya 5 Biceps tenodesis is enough Boileau 5 Who s your winner? 10:10-10:30 Clinical Case Discussion #1 10 Subscapularis lesions Case presentation Athwal How to manage? Discussion Lädermann/Denard/Participant Clinical Case Discussion #2 10 Comma sign Case Presentation: Jiang How to manage? Discussion Boileau/Scheibel/Neyton/Athwal/Participant 3 4 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? Lädermann 5 Discussion: Paladini/Godenèche/Calvo/Denard/Participant 10 Debate Should we use the Sugaya classification? 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 bar!
Rotator cuff pathology /3 ROTATOR CUFF PATHOLOGY / III Tuesday 22 th January 2019 08:20-10:00 AM 08:20-8:40 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 FOR PAINFUL MASSIVE TEAR Chairman: Collin How do I do? Relive surgery Gerber 5 / Kany 5 / Lafosse 5 Discussion 15 08:40-10:10 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 Chairman: Neyton 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/Participant Fight Tendons transfers 15 Referee: Calvo Transfers are «the solution» for irreparable and or pseudoparalytic posterosuperior cuff tear El Hassan 5 Tendons transfers are useful when you don t need them Collin 5 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? 5 Relive surgery SCR 5 Provencher Debate 10 I will do it Sugaya 5 I will not Verborgt 5 Alternative to dermal allograft: Preliminary results of the Chinese way Barth 5 What are my indications Clavert 5 Results in young patient population Gerber 5 Clinical case Discussion 15 Case Presentation Denard Discussion 15 Castagna/Sirveaux/Nourissat/Zumstein/Participant Fight #1 Inspace Balloon 15 Referee Athwal better in the air Boileau 5 than in the shoulder Lafosse? 5 Who s your winner? Debate When should we add a LDT? Collin Collin/Lädermann/Valenti/Neyton/Participant Fight #2 Humeral head can be recentered 15 Referee: Nourissat Sometimes Savoie 5 No Way Gerber 5 Who s your winner? 5 6
Rotator cuff pathology /5 ROTATOR CUFF PATHOLOGY / V Wednesday 23 th January 2019 08:00-10:15 AM 08:00-08:35 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 05:00-06:10 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? 15 Referee: Zumstein Nothing works Verborgt 5 It does work Dines 5 who is the winner Discussion 10 Sirveaux/Dines/Calvo/Provencher/Verborgt/Participant Clinical Case discussion 10 Case Presentation Nourissat Discussion Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Participant BONE BLOCK PROCEDURE Re-live surgery: Anterior approach through the rotator interval Barth 5 Re-live surgery: Arthroscopie Posterior approach Lafosse 5 Re-live surgery: Open acromial pediculated bone-block. Sirveaux 5 08:35-09:50 AM SHOULDER AND SPORT SLAP LESION Chairman: Savoie Clinical Case discussion 20 Case Presentation Nourrissat Discussion Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Sirveaux/Participant 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 10 Dines/Godenèche/Jiang/Schröder/Participant Debate #2 SLAP lesion: How to treat? LHB Tenodesis Jiang 5 Repair Dines 5 Sham surgery works too! Schröder 5 06:10-06:40 PM STERNO-CALVICULAR JOINT Chairman: Valenti Degenerative and unstable. I prefer soft tissue procedure. Relive surgery Dines 8 I prefer osteotomy. Relive surgery Gerber 8 POSTEROSUPERIOR GLENOID IMPINGEMENT Chairman: Jiang Clinical case presentation Europe (Handball) Neyton 5 Clinical case presentation US (Pitcher) Dines 5 Discussion 10 Dines/Neyton/Funk/Participant Clinical Case discussion 10 Case Presentation Valenti Discussion Neyton/Paladini/Provencher/Denard/Participant Para-labral cysts: isolated labral repair Schröder 5 09:50-10:30 AM WHY DO WE NEVER SPEAK ABOUT SCAPULA? Chairman: Paladini Dyskinesia El Hassan 10 Long thoracic nerve release: Clavert 5 Snapping scapula El Hassan 5 How to treat a pathologic scapula? Different techniques for different pathologies Athwal 10 7 Clinical case discussion 10 Case presentation Paladini Discussion El Hassan/Clavert/Barth/Athwal/Participant 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 Case Discussion 20 Case Presentation Funk How to manage chronic AC joint dislocations, recurrences and complications Discussion Scheibel/Zumstein/Barth/Participant 20 09:10-10:00 AM FRACTURES Chairman: Verborgt Relive surgery of glenoid fracture Scheibel 20 Tuberosity fractures. How do I manage? Jiang 5 Clinical Case Discussion 20 Case Presentation Verborgt Discussion 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 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 Sugaya Discussion Valenti/Boileau/Gerber/Barth/Participant 05:30-06:00 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 Case discussion 20 Case Presentation Boileau Discussion Sugaya/Jiang/Boileau/Verborgt/Funk/Participant 20 06:00-06:30 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 #2 Distal Tibia Allograft Provencher 5 Clinical Case Discussion 15 Case Presentation Scheibel Discussion Verborgt/Athwal/Provencher/Collin/Participant 06:30-06:45 PM HUMERAL BONE LOSS RECONSTRUCTION Chairman: Provencher 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 Boileau 3 Discussion 4 06:45-07:15 PM BIPOLAR DEFECTS Were you on or off the track today? Chaiman: Athwal Shoulder instability in the setting of bipolar (glenoid and humeral head) bone loss: the glenoid track concept Provencher 5 9 10 Fight Glenoid Track 15 Referee: Athwal I believe in the track concept Sugaya 5 I don t care Funk 5 Who is the winner
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 SONOSKILLS US WORKSHOP RESERVE YOUR SEAT Update on associated rotator cuff tears and anterior instability in young active patients Savoie 5 Update on rotator cuff tears and anterior instability in older patients Calvo 5 Fight Instability and cuff tear 15 Referee: Clavert Instability repair and cuff repair Lafosse (relive surgery) 5 @Trillat procedure Neyton (relive surgery) 5 Discussion: Savoie/Lafosse/Denard/Participant 10 DYNAMIC ANTERIOR STABILIZATION ANOTHER CRAZY FRENCH IDEA Rationale and biomechamics Lädermann 5 Relive Surgery Collin 5 Discussion: What do you think about it? Lafosse/Boileau/Collin/Lädermann 10 09:00-10:10 AM ARTHROSCOPIC LATARJET Chairman: Jiang Update on the results Barth 5 Fight #1 Arthroscopic Latarjet 15 Referee: Jiang Screw fixation w/o guide Lafosse 5 Endobutton fixation with guide Valenti 5 Debate: SUBSCAPULARIS SPLIT/ How to do it? Relive surgery Jiang Discussion Lafosse/Boileau/Barth/Valenti 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 Fight #2 Arthroscopic Latarjet 15 Referee: Collin Why I keep on going Athwal 5 Why I stopped Castagna 5 Adverse event in arthroscopy: how to manage? Lafosse 10 OUPS! i broke the coracoid! Bouju 10 MEETING ADJOURN 11 SEE YOU IN 2021!!! 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