DISORDERS OF THE WRIST May 20-22, 2016

Mayo School of Continuous Professional Development Pre-Conference Workshop ANATOMY OF THE WRIST May 19, 2016 & DISORDERS OF THE WRIST May 20-22, 2016 Mayo Clinic Siebens Building, Leighton Auditorium Rochester, Minnesota COURSE DIRECTORS Steven Moran, M.D. Richard Berger, M.D., Ph.D. Marco Rizzo, M.D. REGISTER ONLINE NOW! ce.mayo.edu (search: wrist)

GENERAL INFORMATION COURSE DESCRIPTION Disorders of the Wrist is designed for orthopedic and plastic surgeons with a significant hand practice and covers the spectrum of disorders of the wrist and distal radioulnar joint. The format will be case-oriented, covering topics in bony and soft tissue trauma, degenerative disease, and inflammatory arthritis, to name a few. Videotaped surgery clips and cadaveric surgical dissection will be used to demonstrate complicated surgical procedures. The course will begin with a review of normal wrist anatomy and mechanics, including examination maneuvers, imaging modalities and surgical exposures. The pertinent features of each wrist disorder will then be highlighted, followed by detailed descriptions of treatment techniques and outcomes. Case examples will be presented prior to each didactic session, followed by open discussion. Breakout sessions, led by recognized experts in the field, will provide more indepth coverage of specific wrist topics and will provide updates on advances in arthroscopy and arthroplasty. A strong emphasis will be placed on surgical technique. Registrants are encouraged to bring their own cases to discuss with the faculty; special times for these exchanges will be arranged. COURSE LEARNING OBJECTIVES Upon conclusion of this program, participants should be able to: Evaluate the latest surgical and non surgical advancements for the treatment of 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. Attendance at this Mayo Clinic course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. CREDIT Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this live activity for a maximum of 29.50 (22.50 course/ 7 workshop) AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Professionals A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

GENERAL INFORMATION DATE AND LOCATION Disorders of the Wrist will be held May 19-22, 2016. Course headquarters will be located in Leighton Auditorium on the second floor of the Siebens Medical Education Building, Mayo Clinic, 100 Second Avenue Southwest, Rochester, Minnesota. Meeting facilities are easily accessible by skyway and pedestrian subway, which connect Mayo Clinic to shops, restaurants, and hotels. REGISTRATION To register online, visit CE.MAYO.EDU Search: WRIST. The registration fee includes tuition, comprehensive course syllabus (electronic) continental breakfasts, break refreshments, and reception. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. A letter of confirmation will be sent upon receipt of payment and completed registration form. Please present the confirmation letter when checking in at the meeting registration desk. Course Reception May 21, 2016, Landow, Gonda Subway, 6:00 p.m. Attendees and their guest(s) are cordially invited to join the course faculty for the Course Reception on May 21, 6:00 p.m.. This casual reception offers you the perfect opportunity to make connections with existing and new colleagues. Preregistration is requested. For additional information, contact: Mayo School of Continuous Website: Professional Development E-mail: Plummer 2-60 Phone: 200 First Street SW Rochester, MN 55905 Fax: ce.mayo.edu cme@mayo.edu 800-323-2688 or 507-284-2509 507-284-0532 CANCELLATION POLICY If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before May 5, 2016 (cme@mayo.edu or fax#: 507-284-0532). No refunds will be made on or after May 5, 2016. Canceled registrations are nontransferable. Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies. LODGING ACCOMMODATIONS Guest rooms have been reserved for attendees and their guests with special course rates at each of the following downtown Rochester hotels. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of April 27, 2016, whichever comes first. Reservations will be taken following this date based on space and rate availability. Please identify yourself as a participant of the Disorders of the Wrist when making your reservation.

GENERAL INFORMATION Hilton Garden Inn 225 South Broadway 800-445-8667 or 507-285-1234 $139.00 single/double $129.00 Executive King Kahler Grand Hotel 20 Second Avenue SW 800-533-1655 or 507-282-2581 $102.00 Deluxe King Rochester Marriott Hotel 101 First Avenue SW 877-623-7775 or 507-280-6000 $139.00 Standard King The hotels listed above are connected by skyway and pedestrian subway to conference facilities, downtown shops, and restaurants. You may wish to visit the Rochester Convention and Visitors Bureau website (www.rochestercvb.org) and/or www.rochester411.com for additional accommodation options and area information. Lodging arrangements are the sole responsibility of the individual registrant. Mayo School of CPD is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant. FACULTY DISCLOSURE As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation. NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).

GENERAL INFORMATION FACULTY Course Directors Professor of Orthopedics Department of Orthopedics Mayo Clinic Steven L. Moran, M.D. Professor of Orthopedics and Plastic Surgery Department of Surgery Mayo Clinic Marco Rizzo, M.D. Professor of Orthopedics Department of Orthopedics Mayo Clinic Mayo Faculty Julie E. Adams, M.D. Peter C. Amadio, M.D. Kimberly K. Amrami, M.D. Karim Bakri, MBBS Allen T. Bishop, M.D. Brian T. Carlsen, M.D. David G. Dennison, M.D. Bassem T. Elhassan, M.D. Sanjeev Kakar, M.D. Peter M. Murray, M.D. Jose A. Ortiz, M.D. Alexander Y. Shin, M.D. Scott P. Steinmann, M.D. Guest Faculty Brian D. Adams, M.D. University of Iowa Orthopedic Surgery Iowa City, Iowa Gregory I. Bain, FRACS, Ph.D. Modbury Medical Centre North Adelaide, South Australia J. Henk Coert, M.D., Ph.D. University Medical Center, Rotterdam, Amsterdam Francisco del Pinal, M.D., P.h.D. Instituto de Cirugía Plástica y de la Mano Santander, Cantabria, Spain Marc Garcia-Elias, M.D., Ph.D. Institut Kaplan Barcelona, Spain Michael Hayton, FRCS(TrOrth) Wrightington Hospital Lancashire, United Kingdom Jan-Ragnar Haugstvedt, M.D. Rikshospitalet Olso, Norway Guillaume Herzberg, M.D., Ph.D. Edouard Herriot Hospital Lyon, France P.C. Ho, MBBS, FRCS Prince of Wales Hospital Shatin, N.T., Hong Kong Mark Ross, MBBS, FRACS Brisbane Private Hospital Brisbane, QLD Australia David J. Slutsky, M.D., FRCS Hand & Wrist Institute Torrence, California Ian A. Trail, M.D., FRCS Wrightington Hospital Lancashire, United Kingdom

PROGRAM SCHEDULE Pre-Conference Laboratory Workshop May 19, 2016 Anatomy of the Wrist & Wrist Arthroscopy 6:30 a.m. Registration and Breakfast Phillips Hall, Siebens Building 7:30 a.m. Welcome and Introduction Move to Stabile, 9th Floor 8:00 a.m. Lecture: Anatomy and Surgical Approach to the Wrist 9:30 a.m. 9:45 a.m. Dissection: Surgical Exposures with Dorsal and Volar Wrist Anatomy Faculty and Laboratory Staff 12:00 p.m. Lunch Stabile 9 1:00 p.m. Continuation of Dissection Faculty and Laboratory Staff 2:30 p.m. 2:40 p.m. Surgical Procedures: Tenodesis for Sl Repair and DRUJ Repair, Vascularized Bone Grafts from Dorsal Wrist Steven Moran, M.D. and Faculty 3:30 p.m. Surgical Procedures: Total Wrist Arthroplasty Demonstration Faculty and Laboratory Staff 4:00 p.m. Adjourn Friday, May 20, 2016 General Session Disorders of the Wrist 6:30 a.m. Registration and Breakfast Leighton Auditorium, Siebens Building 7:15 a.m. Welcome and Course Overview Session I: The Painful Wrist Where Do I Start? Moderator: Peter Amadio, M.D. 7:30 a.m. Introduction and Case Presentation Peter Amadio, M.D. 7:35 a.m. Examination of the Wrist 7:50 a.m. Radiology in the Diagnosis of Radial Sided Wrist Pain. The Validity of MRI and MR Arthrography Kimberly K. Amrami, M.D. 8:05 a.m. Arthroscopy: Anatomy and Pearls for Diagnostic Accuracy David J. Slutsky, M.D. 8:20 a.m. Correlating Your Test With Your Exam: MRI Findings in the Asymptomatic Wrist Mark Ross, MBBS, FRACS 8:30 a.m. Case Wrap-Up and Audience Vote on Treatment Peter C. Amadio, M.D.

PROGRAM SCHEDULE Session II: Soft Tissue Trauma Scapholunate Dissociation Moderator: Sanj Kakar, M.D. 8:35 a.m. Case Presentation, Overview, Natural History Sanj Kakar, M.D. 8:45 a.m. Scapholunate Injury: Kinematics and Classification Marc Garcia-Elias, M.D., Ph.D. 9:15 a.m. Closed and Arthroscopic Options (Pinning, Shrinkage) When Will It Work? Grade 2 and 3 Instability David J. Slutsky, M.D. 9:30 a.m. Volar and Dorsal Capsulodesis Steven L. Moran, M.D. 9:40 a.m. Tenodesis (WrightingtonExperience) Ian A. Trail, M.D., FRCS 9:55 a.m. Tenodesis (Brisbane Experience) Marc Ross, M.D. 10:05 a.m. Case Discussion and Review of Audience Response Sanj Kakar, M.D. 10:15 a.m. Session IIIA: Acute Scaphoid Fracture Moderator: Karim Bakri, M.D. 10:30 a.m. Case Presentation, Overview, Classification Karim Bakri, M.D. 10:45 a.m. Radiographic Assessment, MRI, CT, or Bone Scan? Kimberly K. Amrami, M.D. 11:00 a.m. Casting Versus Screw: When and Who David G. Dennison, M.D. 11:15 a.m. Arthroscopic Reduction and Screw Fixation: Tips and Tricks David J. Slutsky, M.D. 11:30 a.m. Proximal Pole Fractures: Avoiding Non-Union. Is there Evidence to Support Immediate Vascularized Grafting Alexander Y. Shin, M.D. 11:45 a.m. Scaphoid Fractures in the Athlete: When to Fix and When to Move Michael Hayton, M.D., FRCS 12:00 p.m. Case Discussion: Audience Response Karim Bakri, M.D. 12:10 p.m. Lunch Session IIIB: Scaphoid Nonunion Moderator: Jose Ortiz, M.D. 1:10 p.m. Case Presentation, Overview, Classification, Natural History Jose Ortiz, M.D. 1:25 p.m. Arthroscopic Management With and Without Grafting P.C. Ho, M.D. 1:50 p.m. Volar Grafting Techniques: Exposure and Plating of Scaphoid Fractues Michael Hayton, M.D., FRCS 2:05 p.m. Overview and Surgical Demonstration: Dorsally and Volar Based Vascularized Bone Grafts Allen T. Bishop, M.D.

PROGRAM SCHEDULE 2:20 p.m. The Medial Femoral Condyle Alexander Y. Shin, M.D., FRCS 2:30 p.m. Articular Grafts Free and Vascularized Steven L. Moran, M.D. 2:40 p.m. Case Wrap-Up and Review of Audience Response Jose Ortiz, M.D. 2:45 p.m. Session IV: Perilunate and LT injury Moderator: Peter M. Murray, M.D. 3:05 p.m. Overview and Case Presentation Peter M. Murray, M.D. 3:20 p.m. Greater Arc Variants Gregory I. Bain, Ph.D., FRCS 3:35 p.m. Management and Long-Term Outcomes Guillaume Herzberg, M.D., Ph.D. 3:50 p.m. LT Instability: Tips and Tricks Jan-Ragnar Haugstvedt, M.D., Ph.D. 4:05 p.m. Dry Arthroscopy and Arthroscopic Management of Perilunate Injuries Francisco de Pinal, M.D. 4:20 p.m. Radioscapholunate Dislocation and the Spiral Tenodesis Marc Garcia-Elias, M.D., Ph.D 4:35 p.m. Trouble with the Pisiform Michael Hayton, M.D., FRCS 4:50 p.m. Axial Carpal Dislocations Alexander Shin, M.D. 5:00 p.m. Case Discussion Peter M. Murray, M.D. 5:15 p.m. Breakout Session 5:30 p.m. Kienbock s Disease: 5:30 p.m. My Treatment Algorithm Gregory I. Bain, Ph.D., FRCS Allen T. Bishop, M.D. Ian Trail, M.D. 6:30 p.m. The Rheumatoid Wrist Guillaume Herzberg, M.D., Ph.D. Marco Rizzo, M.D. Hank Coert, M.D. Adjourn Saturday May 21, 2016 6:30 a.m. Breakfast Leighton Auditorium, Siebens Building Session V: Distal Radius Fracture Moderator: David G. Dennison, M.D. 7:30 a.m. Case Presentation, Overview, Classification David G. Dennison, M.D. 7:45 a.m. Distal Radius Anatomy Gregory I. Bain, Ph.D., FRCS

PROGRAM SCHEDULE 8:00 a.m. Volar Plates Marco Rizzo, M.D. 8:15 a.m. Fragment Specific Fixation Alexander Y. Shin, M.D. 8:30 a.m. Arthroscopic Repair of Complex Fractures Fransico de Pinal, M.D. 8:45 a.m. Bridge Plate Karim Bakri, M.D. 9:00 a.m. Intra-articular Malunion, Arthroscopic Management Fransico de Pinal, M.D. 9:15 a.m. Malunion and Open Management David G. Dennison, M.D. 9:30 a.m. Reduction of Coronal Plane Translation and Effect on DRUJ Stability in Distal Radius Fractures Mark Ross, MBBS, FRACS 9:45 a.m. Arthroscopic Management of Pain Following DR Fractures P.C. Ho, MBBS, FRCS 10:00 a.m. Arthrodesis: The Ultimate Salvage: Tips and Tricks Marco Rizzo, M.D. 10:15 a.m. Case Discussion and Questions David G. Dennison, M.D. 10:20 a.m. Session VI: Wrist Arthritis Moderator: Sanj Kakar, M.D. 10:30 a.m. Wrist Salvage-Overview, Case Presentation: SLAC SNAC and Radiocarpal Arthrosis Sanj Kakar, M.D. 10:45 a.m. 4-Corner: Maximizing Outcomes David G. Dennison, M.D. 11:00 a.m. PRC: Who is it Good For? Steven L. Moran, M.D. 11:10 a.m. Long Term Follow Up of PRC With Proximal Capitate Resurfacing Mark Ross, MBBS, FRACS 11:20 a.m. Vascularized Bone for Carpal Reconstruction: Thinking Outside the Box Francisco de Pinal, M.D 11:35 a.m. Radioscapholunate Fusion: Tips and Tricks Marc Garcia-Elias, M.D., Ph.D. 11:50 a.m. Arthroscopic Intercarpal Fusions for Wrist Arthritis Francisco de Pinal, M.D. 12:05 p.m. Non-Vascularized Cartilage and Bone Composite for Radiocarpal Preservation J. Henk Coert, M.D., P.hD. 12:15 p.m. Neurectomy: Tips and Tricks 12:30 p.m. Lunch

PROGRAM SCHEDULE Session VI: Wrist Arthritis Continued: Wrist Arthroplasty Moderator: Sanj Kakar, M.D. 1:15 p.m. Long Term Experience With Total and Hemi-Wrist Arthroplasty Guillaume Herzberg, M.D., Ph.D. 1:35 p.m. Revision Wrist Arthroplasty J. Henk Coert, M.D., P.hD. 1:50 p.m. Wrist Replacement and Hemi Wrist Arthroplasty: U.S. Experience Brian D. Adams, M.D., Ph.D. 2:05 p.m. Case Discussions and Questions Sanj Kakar, M.D. Session VII: Ulnar-Sided Wrist Pain. Where Do I Start? Moderator: Julie Adams, M.D. 2:15 p.m. Case Presentation and Examination of the Wrist Julie Adams, M.D. 2:30 p.m. Radiology in Diagnosis of Ulnar Wrist Pain. The Validity of MRI and Can You See the UT Ligament Kimberly K. Amrami, M.D. 2:45 p.m. Overview and Anatomy Marc Garcia-Elias, M.D., Ph.D. 3:00 p.m. 3:20 p.m. Algorithm for DRUJ Injury 3:35 p.m. Midcarpal Instability: The CLIP Wrist Marc Garcia-Elias, M.D., Ph.D. 3:50 p.m. Palmar Mid-Carpal Instability: Diagnosis and Management Algorithm P.C. Ho, MBBS, FRCS 4:05 p.m. Surgical Approach to the Ulnar Aspect of the Wrist Marc Garcia-Elias, M.D., Ph.D. 4:20 p.m. Classification and Treatment of TFCC Injuries Jan-Ragnar Haugstvedt, M.D., Ph.D. 4:35 p.m. Arthroscopic Management of TFCC Tears, Wide Awake Surgery P.C. Ho, MBBS, FRCS 4:50 p.m. UT Split Tears 5:05 p.m. Failures and Recurrent TFCC Tears Brian D. Adams, M.D., Ph.D. 5:20 p.m. Case Discussion Julie Adams, M.D. 5:35 p.m. Adjourn 6:00 p.m. Conference Reception

PROGRAM SCHEDULE Sunday, May 22, 2016 7:00 a.m. Breakfast Leighton Auditorium, Siebens Building Session VIII: DRUJ Injury Acute and Chronic Moderator: Bassem ElHassan, M.D. 7:45 a.m. Case Presentation, Overview, Natural History Bassem Elhassan, M.D. 8:00 a.m. Acute Dislocations and Galeazzi Fractures Brian Carlsen, M.D. 8:15 a.m. Chronic Instability Brian D. Adams, M.D., Ph.D. 8:30 a.m. Impaction Brian Carlsen, M.D. 8:45 a.m. Herbert Distal Ulnar Head Replacement Ian A. Trail, M.D., FRCS 9:00 a.m. Hemi Endoprosthesis: How to Achieve Reliable Outcomes Steven L. Moran, M.D. 9:15 a.m. Total Ulnar Head Prosthesis 9:30 a.m. 9:45 a.m. Salvage of Failed DRUJ Reconstruction: Darrach and The One Bone Forearm Ian A. Trail, M.D., FRCS 10:05 a.m. It s Not the Wrist; It s the Elbow Scott P. Steinmann, M.D. 10:20 a.m. Pediatric DRUJ Steven L. Moran, M.D. 10:35 a.m. Case Discussion and Questions Bassem Elhassan, M.D. 10:50 a.m. Panel Discussion: Managing Difficult and Recurrent CMC Arthritis Marco Rizzo, M.D., Peter C. Amadio, M.D., and Sanjeev Kakar, M.D. 11:00 a.m. Closing Summary 12:00 p.m. Adjourn Disorders of the Wrist May 19-22, 2016 Mayo Clinic Rochester Siebens Building, Leighton Auditorium, Rochester, MN REGISTER ONLINE AT: CE.MAYO.EDU (Search: Wrist) REGISTRATION FEE: Disorders of the Wrist May 20-22, 2016 Physicians/Scientists...$1000.00 Residents, Physician Assistants and Nurse Practitioners...$850.00 Optional add on: Anatomy of the Wrist May 19, 2016...$500.00

REGISTER TODAY! MAYO CLINIC 200 First Street SW Rochester, MN 55905 Mayo School of Continuous Professional Development Pre-Conference Workshop ANATOMY OF THE WRIST May 19, 2016 & DISORDERS OF THE WRIST May 20-22, 2016 Mayo Clinic Siebens Building, Leighton Auditorium Rochester, Minnesota REGISTER ONLINE NOW! CE.MAYO.EDU (Search: Wrist) 2016 Mayo Foundation for Medical Education and Research MC8020-78rev0116