Shoulder
Objectives
The participant will understand the indications for surgery and the principles of the surgical technique in order to competently and skillfully perform the following arthroscopic procedures:
- Diagnostic arthroscopy of the shoulder, glenohumeral joint, and subacromial space.
- Identification of all intra-articular structures, pathology, and anatomic variations.
- Removal of loose bodies, SLAP respair, and knot tying techniques.
- Arthroscopic subacromial decompression and A-C resection.
- Arthroscopic shoulder stabilization procedures: Anterior and Posterior Bankart repair, Capsular and Rotator Interval Plication, MDI reconstruction , and anterior inferior and posterior reconstruction.
- Arthroscopic Rotator Cuff repair: single row, double row, and margin convergence techniques.
- Biceps evaluation, tenotomy and tenodesis: soft tissue and interference screw techniques.
- Subscapularis Repair.
Participants will be partnered depending on skill level. At the end of the course, the participant will dissect the specimen to review the anatomy and evaluate the procedures performed.
Schedules
- Friday Evening: 6:00 pm-9:00 pm
Lectures
- Positioning for Shoulder Arthroscopy: Lateral decubitus and beach chair
- Portal locations and techniques
- Normal anatomy and pathology
Glenohumeral joint
Subacromial space
- ASAD/Mumford indications, techniques, and complications
- SLAP Repair: Indications and techniques
- Arthroscopic Reconstruction of the shoulder
- Arthroscopic Rotator Cuff repair techniques
- Knot tying and ALEX Model Lab
- Saturday: 7:00 am - 5:00 pm
Lectures
- Special techniques in diagnostic arthroscopy
- Special portals used in various surgical procedures
- Shoulder stabilization
Bankart
Interval closure
Anchor first versus tissue first
- Mumford-Osteolysis
- Bicep tenotomy vs. tenodesis
Cadaver Lab
Basic:
1) Loose bodies; 2) Subscapularis repair; 3) SLAP repair; 4) Instability:Bankart repair;
5) Capsular plication; 6) Interval closure
Advanced:
1 ) SLAP repair: Anterior and Posterior; 2) Instability: Bankart, Multidirectional Instability, Plication, Posterior Reconstruction; 3) Interval Closure; 4) Isolated Mumford for Osteolysis; 5) Biceps Tendon Release/Tenodesis (soft tissue, interference screws, subpectoralis); 6) Subscapularis Partial Tear Repair; 7) PASTA repair
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Sunday: 7:00 am - 12:30 pm
Lectures
- Rotator Cuff Repair
- Capsular Release
- Subscapularis Repair
- Hill-Sachs Lesions - Laterjet Procedure
- Arthroscopic AC Stabilization
- Discussion/Open Forum
Cadaver Lab
Basic:
1) ASAD/Mumford 2) Side-to-side cuff repair 3) Releases for Rotator Cuff repair 4) Mini Open repair 5) Anchor in Situ
Advanced:
1)Rotator Cuff Repair (single, double, and triple row with convergence sutures); 2) U-Margin Convergence
3) Subscapularis: Complete tear repair; 4) Arthroscopic AC Stabilization; 5) Suprascapularis Nerve Decompression.
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Knee Arthroscopy
New Horizons: Advances in Knee Surgery Ligament Focus
Objectives
Upon completion of this course the participant will be familiar with:
- Double Bundle Anatomic ACL Reconstruction
- Meniscal Allograft Transplantation
- Hamstring Single Bundle ACL Reconstruction
- PCL Reconstruction
- Posterolateral Corner Reconstruction
At the completion of this course the registrants will be knowledgeable about anatomic ACL reconstruction, meniscal transplantation, and the new advances in hamstring graft fixation for single bundle ACL reconstruction. There is also the option for PCL reconstruction, posterolateral corner reconstruction, and anatomic knee dissection on the final day.
Schedules
- Friday Evening: 6:00 pm-8:00 pm
- Indications
- Complications
- Outcomes
- Saturday: 7:00am- 5:00pm
- Systematic Approach
- Postero-Medial and Postero-Lateral Exam
- Meniscal Repair
- Inside-Out/Posterior Third
- Outside-In/ Middle Third
- Meniscal Surgery including Repair
- Open Postero-Medial & Postero-Lateral Approach
- Sectioning MCL
- Creating Meniscal Tears
- Menisectomy
- Medial Bucket-Handle Tear
- ACL Reconstruction
- Osteochondral Transfer
- Cadaver Lab
- Systematic Approach to Arthroscopy
- Knee Compartments
- Posteromedial and Posterolatral Exam
- Meniscus Surgery
- Menisectomy
- Meniscus Repair
- Inside Out
- Outside In
- Meniscal Fixators
- ACL Reconstruction
- Hamstring Tendon
- Bone-Patellar-Tendon-Bone
- Quadriceps Tendon
- Revision ACL Reconstruction
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Sunday: 7:00am - 12:30pm
- Lectures
- Treatment of Unicompartmental Disease-Indications, Pitfalls & Techniques
- Treatment Posterior Cruciate Ligament Injuries
- Treatment of Posterolateral Corner Injuries
- Cadaver Lab Options
- PCL Reconstruction
- Single Bundle
- Double Bundle
- Tibial Inlay
- Posterolateral Reconstruction
- Posteromedial Reconstruction
- Lateral Release
- Gross Anatomical Dissection
New Horizons: Advances in Knee Surgery Cartilage Focus
Objectives
Upon completion of this course the participant will be familiar with:
- Meniscal Allograft Transplantation
- Osteochondral Allografts and Autografts
- Bone/Tissue Scaffold Grafts
- Chondrocyte Transplantation
- Marrow Stimulation Techniques
- Open Wedge Tibial Osteotomy
- Unicompartment Knee Arthroplasty
- Non-Biologic Resurfacing Options
At the completion of this course the registrants will be knowledgeable about meniscal transplantation, and current approaches for the treatment of articular cartilage defects.There is also the option for high tibial osteotomy, unicompartment arthroplasty, and anatomic knee dissection on the final day.
Schedules
- Friday Evening: 6:00 pm – 8:00 pm
- Lecture
- Meniscus: Tear Management
- Articular Cartilage Lesions
- Meniscal Allografts: Indications & Techniques
- Saturday: 7:00 am - 4:00 pm
- Cadaver Lab
- Medial meniscal Transplantation
- Autogenous Osteochondral Transfer
- Transplant Procedures
- Microfractures
- Osteochondral Allografts
- Synthetic Bone Grafting
- Non-Biologic Resurfacing Options
- Joint Resurfacing
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Sunday: 7:00 am -12:30 pm
- Lectures
- Osteochondral Grafting
- Opening Wedge
- Closing Wedge
- Unicompartment Arthroplasty
- Cadaver Lab Options
- Open Wedge Tibial Osteotomy
- Osteochondral Grafting
- Unicompartmental Arthroplasty
- Gross Anatomical Dissection
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Wrist & Elbow
Objectives
Participant will be able to:
Wrist
- Understand operating room set up for optimal success with wrist arthroscopy.
- Understand portal anatomy and diagnostic arthroscopy of the wrist.
- Establish radiocarpal and midcarpal standard portals.
- Develop techniques to have a clear view of the radiocarpal and midcarpal joint.
- Understand the arthroscopic management of wrist instabilities.
- Learn techniques of operative debridement and repair of TFCC lesions.
- Learn indications and techniques for arthroscopic management of distal radius and scaphoid fractions.
- Develop skills in endoscopic carpal tunnel release.
Elbow
- Understand operating room set up for optimal safe and effective arthroscopy.
- Demonstrate portal placement for successful elbow arthroscopy.
- Review techniques for treatment of OCD, lateral epicondylitis and arthrofibrosis in the elbow.
- Understand the arthscopic management of arthritis including radial head excision.
At the end of the course, the participant will dissect the specimen to review the anatomy and evaluate the procedures performed in both the wrist and elbow.
Schedules
- Saturday: 7:00 am - 5:00 pm
Wrist
- Wrist Anatomy and Portals
- Portals and Diagnostic Arthroscopy Lab
- Debride Central TFCC tear
- TFCC Repair Whipple
- TFCC Repair Toughy
- TFCC Radial Repair
- TFCC Debridement and Ulnar Shortening
- Dorsal Ganglionectomy & Radial Styloidectomy
- Intercarpal Pinning
- Distal Ulnar Resection
- ARIF Distal Radius Fracture
- CMC & MCP Arthroscopy
- Arthroscopic Treatment of Carpal Instability
- Endoscopic Carpal Tunnel Release
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Sunday: 7:00 am - 2:00 pm
Elbow
- Portals and Arthroscopic Anatomy
- Diagnostic Arthroscopy and Loose Body Removal
- Olecranon Spur Excision
- Radial Head Excision
- Ulnohumeral Arthroplasty
- ECRB Release
- Capsular Release
- Endo Cubital TunnelRelease
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Hip
Objectives
- Understand clinical assessment and indications for hip arthroscopy.
- Become familiar with safe basic principles of access to central and peripheral compartment and peritrochanteric space.
- Identify pertinent intra and extra articular arthroscopic anatomy.
- Become familiar with advanced and restorative techniques of hip arthroscopy.
Schedules
- Friday 6:00pm-8:00 pm
- Patient Selection & Indications
- Hip Model Lab
- Orientation to Anatomy
- Triangulation Techniques
- Labral Repair
- Assessment of Femoracetabular Impingment
- Saturday: 7:00 a.m. - 4:00 p.m.
- Overview of Supine & Lateral Approaches
- Portal Placement, Gross & Arthroscopic Anatomy
- Cadaver Lab
- Central Compartment
- Portal Placement & Access
- Debridement & Loose Body Removal Procedures
- Labral Repair
- Acetabular Rim Trimming & Labral Refixation
- Peripheral Compartment
- Portal Placement & Access
- Debridement & Synovectomy Procedures
- Correction of Cam Impingement
- Iliopsoas Tendon
- Release from Peripheral Compartment
- Iliopsoas Bursoscopy
- Peritrochanteric Space
- Anatomy, Landmarks & Portal Placement
- Trochanteric Bursoscopy & Bursectomy
- Release of IT Band for External Snapping Hip
- Assessment & Repair Abductor Tendinopathies
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Coding, Reimbursement and Interesting Cases
- Sunday: 7:00 am - 12:00 pm
- Lectures
- Hip Arthroscopy in Children
- Arthroscopy Following Total Hip Arthroplasty
- Tumors
- Cadaver Lab
- Completion of procedures from Saturday & Open Dissection
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Objectives
Participant will be able to:
- Perform diagnostic arthroscopy utilizing all portals.
- Demonstrate ability to arthroscopically remove loose bodies, excise osteophytes, and treat OCD.
- Understand the principles and techniques of ankle arthrodesis and plantar fasciotomy.
- Develop and implement plan for arthroscopic treatment of ankle fractures.
- Dissect specimen to evaluate efficacy of procedures performed.
Schedules
- Saturday: 7:00 am - 5:00 pm
- Set-up Portals, Diagnostic Arthroscopy, Loose Body Removal
- Accessory Portals, Osteophytes, Soft Tissue Impingement
- Osteochondral Lesions of Talus
- Ankle Arthrodesis
- Subtalar Arthroscopy
- Arthroscopic Treatment of Ankle Fractures
- Saturday Evening
- Informal Dinner and Roundtable Discussion
- Sunday: 7:00 am - 12:00 pm
- Posterior Ankle Arthroscopy: Os Trigonum Excision, Haglund Excision
- Tendoscopy
- Articular Cartilage Replacement
- Plantar Fascia Release
- Great Toe Arthroscopy
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Fundamentals in Arthroscopy - Junior Resident Course
Fundamental Arthroscopic Skills Course for Residents
Objectives
The participant will understand the principles of the technique and be able to perform the following arthroscopic procedures:
Knee
- Diagnostic arthroscopy of the knee.
- Removal of a loose body.
- Lateral retinacular release.
- Meniscectomy.
- Meniscal repair with sutures and biodegradable fixators.
- ACL reconstruction with patellar tendon and hamstrings.
Shoulder
- Diagnostic arthroscopy of the shoulder, glenohumeral joint, and subacromial space.
- Identify intra-articular structures, pathology, and anatomic variations.
- Removal of loose bodies.
- Arthroscopic subacromial decompression
- Arthroscopic repair of instability lesions (Bankart and SLAP)
Knot Tying
- Improve and optimize arthroscopic knot tying skills.
At the end of the course the participant will dissect knee and shoulder specimens to review the anatomy and evaluate the procedures performed.
Schedules
- Thursday
6:00 pm - 6:30 pm Reception
6:30 pm - 8:30 pm
Evening Presentations
- Fundamentals in Knee Arthroscopy
- Friday: 7:00 am - 5:00 pm
- Portal Placement
- Diagnostic Arthroscopy
- Loose Body Removal
- Partial Lateral & Meniscectomy
- Meniscus Repair with Implant Techniques
- ACL Reconstruction
- Friday Evening
- Informal Dinner and Roundtable Discussion
- Saturday: 7:00 am - 5:30 pm
- Arthroscopic Shoulder Anatomy, Portals, and Risks
- Potential Complications
- Beach Chair vs. Lateral Decubitus
- Glenohumeral Arthroscopy
- Subacromial Decompression & Distal Clavicle Excision
- Knot Tying Lab
- Arthroscopy Instability Repairs
- Evening Open
- Sunday: 7:00 am - 12:00 pm
- Introduction to Arthroscopic Rotator Cuff Repairs
- Mini-Open (Deltoid Split) to Inspect Repair, Take Down Repair, and Re-repair with New Anchors
- Guided Cadaveric Dissection (with Prosector)
Optimizing and Broadening Your Arthroscopic Skills
A Course for Senior Residents & Fellows
Objectives
The participant will understand the principles of the technique and be able to perform the following arthroscopic procedures:
Knee
- Double-Bundle Anterior Cruciate Ligament Reconstruction
- Posterior Cruciate Ligament Reconstruction with 1 and 2 Tunnel Technique
- Posterior Lateral Corner Exposure, Anatomy and Reconstruction
- Meniscus Transplant
- Cartilage Reconstructive Techniques; Osteochondral Transfer, ACI, OCD Pinning
- Medial Patellofemoral Ligament Repair
- Osteotomy
- Dissection at the end of the lab
Knot-Tying
- Improve and Optimize Arthroscopic Knot-Tying Skills
Shoulder
- Arthroscopic Capsular Reconstruction
- Labral Pathology and Labral Tears
- Arthroscopic Cuff Repair Techniques
- Single and Double-Row Rotator Cuff Repair
- Biceps Tendon Repair
- Arthroscopic and Mini-Incision Biceps Tenodesis
- Subscapularis Repair
- AC Joint Reconstruction
- Dissection at the end of the lab
Schedule
- Thursday: 6:00pm - 9:00pm
- Friday: 7:00am - 5:00pm
- Friday Evening
- Casual Dinner
- Shoulder Presentations
- Saturday 7:00am - 5:00pm
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