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 MRI (dynamic MRI, 4 Tesla, )? Utility of EOS in shoulder surgery? Kolo 10 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 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) 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) ZUMSTEIN MATTHIAS (Switzerland) Debate: Local but shared Roman Collin vs Institutional Sirveaux vs National Gerber vs Own by scientific societies Barth vs Own by companies Denard 30 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 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 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 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 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 Relive Surgery A new (Fussi) lesion Lädermann 5 Relive Surgery Hidden lesion: don t miss the subscapularis detachment from lesser tuberosity Neyton 5 Fight Upper third subscapularis lesion 15 Referee: Athwal I repair Sugaya Biceps tenodesis is enough Boileau Who s your winner? Clinical Case Discussion #1 10 Subscapularis lesions Clinical case presentation Athwal How to manage? Discussion Lädermann/Vuillemin/Denard/Participant Debate #2 Interference screw fixation: Why is still use it? Boileau 5 Why I stopped Denard 5 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 4:00-07:00 AM 04:00 PM ULTRASOUND WORK SHOP Vuillemin/Kolo 05:00-4:45 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 08:00-10:00 AM 08:00-8:20 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 04:00-07:00 PM 04:00 PM ULTRASOUND WORK SHOP Vuillemin/Kolo 05:00-07:00 PM TENDON TRANSFERS FOR POSTEROSUPERIOR LESIONS 08:20-10:00 AM IRREPARABLE (NOT PSEUDOPARALYTIC) ROTATOR CUFF TEAR State of the art: Nourrissat 5 MRI and head migration. How to analyse? Kolo 5 IA could help for FI analysis? Gerber 5 Discussion 15 Nourrissat/Kolo/Jiang/Vuillemin/Participant What is the SCR rationale? Funk 5 SCR alone or together with repair? Provencher 5 Relive surgery SCR 5 Debate 10 I will do it Sugaya I will not Verborgt Alternative to dermal allograft: Preliminary results of the Chinese way Barth 5 Fight in Space Balloon 15 Referee better in the air Boileau than in shoulder Lafosse? Who s your winner? LATISSIMUS DORSI TRANSFER Chairman: Collin How do I do? Relive surgery Gerber 5 / Kany 5 / Lafosse 5 Discussion 15 Alternative: Lower Trapezius transfer Relive surgery: Arthroscopic assisted Lower Trapezius transfer. How do I do? Valenti 5 / El Hassan 5 Discussion 10 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 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? REVERSE SHOULDER ARTHROPLASTY AND MASSIVE ROTATOR CUFF TEAR Chairman: Denard 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 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 ARTHROSCOPIC BONE BLOCK PROCEDURE Re-live surgery: Anterior approach through the rotator interval Barth 5 Re-live surgery: Arthroscopic Posterior approach Lafosse 5 Re-live surgery: arthroscopic acromial pediculated bone-block. Sirveaux 5 08:40-09:50 AM Clinical case discussion Case presentation Discussion 20 Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/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 Godenèche/Jiang/Schröder*/Participant POSTEROSUPERIOR GLENOID IMPINGEMENT Chairman: Jiang Debate #2 SLAP lesion: How to treat? LHB Tenodesis Jiang 5 Repair Romeo 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 *not confirmed yet 09:50-10:15 AM 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 2 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 What are the options? Distal tibia allograft/eden Hybinette/Latarjet/distal clavicle Verborgt 7 Relive surgery: #1 @Eden Hybinette Athwal 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
Acromio-clavicular joint and fractures Anterior instability 1 ANTERIOR INSTABILITY II Friday 25th 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) Instability repair and debridement Sirveaux (relive surgery) Discussion: Savoie/Lafosse/Denard/Participant 15 Update on rotator cuff tears and anterior instability in older patients Calvo 5 Fight: Instability and cuff tear #2 10 Referee: Dines Instability repair and cuff repair Paladini (relive surgery) @Trillat procedure Neyton (relive surgery) 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 11 12
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