Don’t miss your opportunity to start your morning off right with relevant, current clinical practice issues and the latest research and treatment strategies by signing up for Instructional Courses! Moderators will ask open-ended questions of participants, and as in clinical practice, the case(s) will unfold gradually, with new information being offered during discussion.
Additional registration is required for Instructional Courses.
Thursday, July 14, 2022
For additional information about each course, click on the course number below.
Register Here for Instructional Courses-
Location: International Center North
Course Description:
Despite significant advances in anatomic ACL reconstruction, failure in at-risk patients continues to be a challenge for treating surgeons. An improved understanding of modifiable risk factors, including tibial slope, coronal malalignment, hyperlaxity, condylar geometry, and meniscal deficiency, have all be recognized as potentially contributory to recurrent failure despite anatomic ACL reconstruction. In 2021, however, the indications for slope and/or alignment correction or augmentation procedures (i.e. anterolateral ligament, iliotibial-band based lateral augmentation, etc.) remain difficult to definitively define for treating surgeons. Using a case-based approach, this ICL will use a case-based approach to presents these concepts and the considerations for graft selection, slope and alignment correction, and augmentation for primary ACL reconstruction. Use of these procedures must be balanced with the potential morbidity of additional surgery and overconstraint of the knee.Faculty:
Asheesh Bedi, MD; Jorge Chahla, MD, PhD; Alan M. Getgood, MD, FRCS (Tr&ORTH); Christopher M. Larson, MD; Bryson P. Lesniak, MD; Volker Musahl, MD; Alexander E. Weber, MD
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Location: International Center South
Course Description:
This interactive course uses a round table format with one faculty per group of attendees for case based learning. A moderator will present the case followed by small group discussion. Concepts covered include optimizing MPFL reconstruction techniques and learning to recognize the various anatomic risk factors that increase the risk of recurrent patella instability and how to manage them. These include malalignment, patella alta, rotational deformities and trochlear dysplasia. When is an MPFL reconstruction not enough, and which anatomic risk factors should be addressed? What adjustments need to be made for open physes? What should the threshold be to change the anatomy? The international faculty represents very experienced PF surgeons with a lot to share in this area that can be controversial and not always clear cut.
Faculty:
David R. Diduch, MD; Elizabeth A. Arendt, MD; Jacqueline Brady, MD; Andrew J. Cosgarea, MD; David DeJour, MD; Donald C. Fithian, MD; John P. Fulkerson, MD; James L. Pace, MD; Beth E. Shubin-Stein, MD; Adam B. Yanke, MD
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Location: Colorado Hall A
Course Description:
This ICL round table will be an interactive session, which is case based and dealing with 3-4 very common problems seen with overhead sporting activities. Monitors will be placed at 10 tables and individual cases presented. A faculty member will be at each table leading group discussions about the case and then discussion with all tables will take place after faculty reports what was done. Faculty members will rotate tables after each case. An audience response system will be used at each table to facilitate discussion.
Topics:
- 21-year-old collegiate baseball pitcher with a Type II SLAP tear.
- 18-year-old male defensive back with glenohumeral dislocation in first game of season.
- 42-year-old female active cross-fitter with PASTA recalcitrant to non-op management.
- 23-year-old professional baseball pitcher with posterior shoulder pain and internal rotation deficit.
Faculty:
Michael T. Freehill, MD; Stephen F. Brockmeier, MD; Jacob G. Calcei, MD; Michael G. Ciccotti, MD; W. Ben Kibler, MD; Albert Lin, MD; George A. Paletta, MD; Richard K.N. Ryu, MD; Felix H. Savoie, MD; John M. Tokish, MD
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Location: Colorado Hall B
Course Description:
Hip arthroscopy is a rapidly growing and evolving field in orthopaedic sports medicine. The ability to incorporate this field into the general sports practice is highly attractive and desirable, as this allows the orthopaedic sports surgeon to treat a unique young, athletic pathologic spectrum. Given this, hip arthroscopy has expanded to allow treatment of more complex pathologies and has been used with increasing frequency throughout the US and internationally. As hip arthroscopy surgical volumes increase, it is of paramount importance to know and identify the intraoperative pitfalls and complications that occur - even in a high-volume hip arthroscopy surgical practice. It is of equal, if not higher importance to understand how to avoid and manage these complications when they occur. This course will specifically focus on actual unplanned intraoperative worst day in the OR scenarios that have occurred in the high-volume hip arthroscopy practices of the course faculty over the past year. Specifically, the discussion will include a detailed description of the worst day in the operating room for each of the presenters, how the issue was identified and addressed, and how this experience changed future practice for the faculty. This will be a case-based learning environment in which the case will be presented followed by the ensuing 'Worst Day in the OR' and the subsequent aftermath and related practice changing decisions. This year, the course will also include an audience open mic session with an award for the 'Best Worst Day'. In this section, the audience will be allowed to present their Worst Day in the OR and how it changed their practice. There will be a faculty discussion of each of these including tips and tricks as well as an award following this component.
Faculty:
Travis G. Maak, MD; Asheesh Bedi, MD; Richard C. Mather III, MD, MBA; Marc J. Philippon, MD; Thomas Wuerz, MD, MSc
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Location: Colorado Hall C
Course Description:
This course will be led by experienced collegiate, professional, and Olympic team physicians and will provide guidance on becoming and serving as an orthopaedic team physician from the high school level to the professional and Olympic levels. The faculty presenters include the medical director of a major Division I collegiate athletics program, the head team physician for the 2020 Tokyo Paralympic Games, and a recent National Football League Team Physician of the Year.
The topics to be discussed by the faculty include:
- Role of the orthopaedic team physician in the 2022 and beyond
- Role and responsibility of the university head team physician
- Serving as an Olympic and Paralympic team physician
- Expectations of the professional team physician
- Considerations for team physicians covering opposite-sex sports
- Interacting with the media, agents, and administrators
- Evolving educational models for team physicians and trainees
- Emerging expectations in the wake of COVID-19
Faculty:
Timothy L. Miller, MD; Gloria M. Beim, MD; James P. Bradley, MD; Christopher C. Kaeding, MD
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Location: Colorado Hall F
Course Description:
There have been significant advancements in the understanding, evaluation, and treatment of Osteochondritis Dissecans in the past decade, much of it being led by members of the ROCK group. Leaders within the ROCK group will present on these advances, including directly from the researchers leading these efforts. Our aims are to inform the attendees about changes and updates within our knowledge on OCD, and hopefully assist them in their management of this historically challenging pathology. The outline is as below:
- Rock group radiographic and clinical studies, plus new information on genetic studies
- New knowledge in OCD pathophysiology
- Advances in MRI capabilities in OCD
- Changes in OCD treatment pathway and expert panel discussion
- Non-operative OCD that fully healed radiographically
- Drilling of OCD without fixation
- Open curettage and fixation with proximal tibial bone grafting
Faculty:
Marc Tompkins, MD; Jutta M. Ellermann, MD; Theodore J. Ganley, MD; Kevin G. Shea, MD; S. Clifton Willimon, MD
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Location: Colorado Hall D
Course Description:
The goal of this ICL is to cover some of the more difficult shoulder problems that occur in patients of younger ages. We will begin by discussing young patients who are suffering from arthritis and will present 1-2 cases of young patient with arthritic changes and how they were managed. From there we will present 1-2 cases of irreparable rotator cuff tears in young patients and have a discussion on the various treatment options and how to be manage this problem in these patients. Finally, we will discuss recurrent instability after previous Bankart repair. We will present 1-2 cases of young patient who underwent arthroscopic Bankart repair or Latarjet and who subsequently continued to dislocate. With each of these topics we will cover diagnosis including imaging, non-operative and operative treatment options, rehabilitation and when these patients should be allowed to return to sport if they are athletes.
Faculty:
Peter N. Chalmers, MD; Gregory L. Cvetanovich, MD; Brandon J. Erickson, MD; Anthony A. Romeo, MD
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Location: Colorado Hall E
Course Description:
Ankle Instability and associated pathologies continue to be a significant concern in athletes and sports performance. Over the last several years a number of concepts have surfaced that contribute to ankle stability and long-term management of ankle dysfunction in the athlete. These concepts include the relationship of concurrent medial and lateral instability, when is more than a Brostrum required to stabilize (augmentation), the use of arthroscopy, as well as rehabilitation and return-to-play. This case-based course will be a comprehensive discussion of ankle instability and these associated controversial concepts as they apply in the athlete. We will discuss the non-operative and operative treatment of ankle instability. Cases will be reviewed with a focus on relevant anatomy, biomechanics, clinical evaluation, imaging, and rehabilitation principles, and return-to-play guidelines. The presenters will also discuss the latest principles in management including timing of surgical treatment, the latest arthroscopic procedures, and the role of medial sided ankle injuries in ankle instability, and ligament augmentation. Case presentations will highlight the controversial concepts in the management of ankle instability. The purpose of this instructional course lecture is to provide an update on latest principles and allow practitioners to immediately apply these concepts to their practice.
Faculty:
Brian C. Lau, MD; Annunziato (Ned) Amendola, MD; C. Thomas Haytmanek, MD; Kirk A. McCullough, MD
Friday, July 15, 2022
For additional information about each course, click on the course number below.
Register Here for Instructional Courses-
Location: International Center North
Course Description:
Hip pain in the athlete has seen an explosion of growth and interest in the last 20 years. More and more athletes are being diagnosed with hip injury resulting in pain and decreased performance. Advances in diagnostic technology and less invasive surgical techniques (hip arthroscopy) has aided the understanding of pathologies (including new and more recently recognized) and treatment. However, due to the nature of this rapid growth of knowledge, many team physicians are not aware of some of these newer diagnoses, the diagnostic tools to identify these varied pathologies and / or treatments. This ICL will utilize the round table format for more individualized education in a small group format, which is ideal for this area, as different surgeons have differing degrees of baseline knowledge about hip problems in athlete (as well as their diagnosis and management, and return to play expectations), due to its relative recent growth, and sporadic adoption in orthopaedic surgery training programs. We will discuss early and midseason presentations of common sources of hip pain in athletes, including femoroacetabular impingement (FAI) with and without core muscle injury, hip microinstability, dysplasia (borderline and not borderline), hip subluxation and hip dislocation. If time allows, we will also discuss common periarticular sources sources of hip pain, including adductor strains and tears, iliopsoas strains and hamstring avulsions.
Faculty:
Marc R. Safran, MD; Stephen K. Aoki, MD; Brian D. Busconi, MD; JW Thomas Byrd, MD; John J. Christoforetti, MD; Joshua D. Harris, MD; T. Sean Lynch, MD; Richard C. Mather III, MD, MBA; James T. Rosneck, MD; Andrea M. Spiker, MD
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Location: International Center South
Course Description:
The arthroscopic Bankart is the most common procedure for patients with anterior glenohumeral instability, but the latest quality data indicate failure rates may be higher than previously recognized. While this procedure plays an important role in treatment of anterior instability, it is important to understand conditions that may predispose the arthroscopic Bankart to failure and to identify these and perform adjunctive or alternative stabilization techniques judiciously in order to reduce failure rates and optimize patient outcomes and return to sport. In this round table Instructional Course, we will present a series of anterior instability cases with evidence-based discussion that may support treatment other than arthroscopic Bankart to improve outcomes. The first two cases will focus on anterior instability with bone loss, and discussion of treatment options including arthroscopic Bankart with adjunctive remplissage, as well as open and arthroscopic anterior bone block procedures (latarjet and allograft bone block). Subsequent cases will address HAGL treatment open and arthroscopic, as well as the lost art of the open Bankart. Throughout the case discussion, we will present evidence-based rationale for treatment and technical pearls, while also allowing the audience time to discuss the cases and ask questions of the faculty.
Faculty:
Gregory L. Cvetanovich, MD; Julie Y. Bishop, MD; Stephen F. Brockmeier, MD; Brian R. Wolf, MD, MS; Ivan H. Wong, MD, FRCSC, MAcM, Dip. Sports Med
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Location: Colorado Hall A
Course Description:
The meniscus is vital to normal knee function and the health of the articular cartilage. While meniscus tears are very common, we proportionately devote little time and resources into improving our surgical indications and technique for meniscus preservation and restoration. Recently there have been advances in recognition of tear pattern and surgical treatment of meniscus pathology. As a surgeon, it is important to understand how and when patients can benefit from these procedures. This course will provide a case-based approach to guidelines on how to recognize and treat a variety of meniscus pathology in the isolated and concomitant setting. Recognition of specific tear patterns, including full-thickness radial tears, complex tears, and root tears will be emphasized. Variations of surgical techniques, such as transtibial pull-out for root tears, novel all-inside techniques, gold standard repair techniques, and transplantation will be covered. In addition, emerging biologic augmentation will be discussed.
Case Presentations Include:
- Bucket Handle Meniscus Tear
- Case Presentation: Radial Tear
- Case Presentation: Root Tear
- Case Presentation: Lateral meniscus radial oblique tear (LMORT)
- Case Presentation: meniscus allograft transplant (MAT)
- Case Presentation: MAT Combined w/Osteotomy and/or Cartilage
Faculty:
James L. Pace, MD; Kirk A. Campbell, MD; James L. Carey, MD, MPH; Thomas R. Carter, MD; Jorge Chahla, MD, PhD; Brian J. Cole, MD, MBA; Thomas M. DeBerardino, MD; Wayne K. Gersoff, MD; Aaron J. Krych, MD; Scott A. Rodeo, MD
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Location: Colorado Hall B
Course Description:
This course will give physicians a comprehensive understanding of all aspects of medicine from health insurance and coding to marketing and enhancing your visibility to compete in the current healthcare marketplace with a sports medicine practice. Updating this course to involve care of patients with COVID-19, tricks for telemedicine to succeed and maintaining income will be discussed.
Faculty:
Kevin D. Plancher, MD, MPH; Brian J. Cole, MD, MBA; Hussein A. Elkousy, MD; Louis F. McIntyre, MD; Allston J. Stubbs, MD, MBA
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Location: Colorado Hall C
Course Description:
Shoulder arthritis in the young patient has become a more common problem, and the treatment options for these patients are numerous. A clear understanding of the available treatment options, and which patients are appropriate for each option is imperative to proper management of this problem. The goal of the IC is to cover the entire spectrum of arthritis in the young patient. The IC will begin with diagnosis, including pearls for the physical exam and what imaging tests are most appropriate and afford the most information for clinical decision making. Next, arthroscopic treatment options including microfracture, MACI, osteochondral allografts and others will be discussed. This will be followed by a discussion on soft tissue glenoid resurfacing and the ream and run procedure. Surgical pearls for each procedure will be provided. Anatomic total shoulder arthroplasty will then be discussed in detail including when to indicate young patients for this procedure and how to make sure the shoulder is truly 'anatomic.' Lastly, complications, more specifically how to diagnose and manage these complications, following the above procedures will be discussed. The IC will conclude with 2-3 case presentations in which the audience is asked to participate and interact with the faculty.
Faculty:
Brandon J. Erickson, MD; Matthew T. Provencher, MD, MC USNR (Ret.); Anthony A. Romeo, MD; Samuel A. Taylor, MD
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Location: Colorado Hall F
Course Description:
This course will look at several case-based lectures including:
- Preoperative planning, traditional method, isolated high tibial osteotomy
- Advanced Tibial Osteotomy Using Computer Planning and Patient Specific Instrumentation with Cartilage Procedures
- Complex Tibial Osteotomies
- Combined Tibial Femoral Osteotomies
Faculty:
Anil S. Ranawat, MD; Alan M. Getgood, MD, FRCS (Tr&Orth); Seth L. Sherman, MD; Armando F. Vidal, MD
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Location: Colorado Hall D
Course Description:
Not 'if' but 'when' - complications are an inevitable part of life as a surgeon. Although sometimes simple in theory, dealing with complications represents a challenge for many of us, and our response to these difficult events and the patients affected by them speaks to our effectiveness as physicians. Young surgeons, in particular, are often unprepared for the bouts of failure that lay ahead. Yet complications are perhaps our best educator and can be an important catalyst for improvement. Faculty will present the worst complications of their careers as it relates to common shoulder, elbow and knee surgeries. We will discuss both the technical errors and subsequent changes made as well as the life lessons learned along the way. This is intended to be a practical, 'in-the-trenches' approach to minimize complications, manage bad outcomes and deliberately improve going forward.
Faculty:
Matthew A. Tao, MD; Christopher S. Ahmad, MD; Beth E. Shubin Stein, MD; Alison P. Toth, MD
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Location: Colorado Hall E
Course Description:
Although less common, posterior cruciate ligament (PCL) injuries can represent a significant dilemma to practicing orthopedic surgeons. Traumatic injuries may be difficult to appreciate on initial evaluation, and the subsequent surgical management is often technically challenging due its frequent association with other ligamentous, osseous, and intra-articular injuries. From the physiologically young athlete to the low-demand or morbidly obese patient, this course will explore the systematic evaluation and treatment of high-grade PCL injuries in an interactive case-based format. The presenters will address the broad range of approaches to unstable PCL injuries, including isolated ruptures, combined multiligamentous knee injuries, and salvage or revision scenarios. Key clinical and radiographic diagnostic tools will be emphasized alongside novel bracing and rehabilitation strategies to improve early diagnosis and facilitate earlier return to functional. Furthermore, emerging techniques and modern debates will be engaged, including the following:
- Primary repair versus single- or double-bundle reconstruction
- Graft selection and preparation
- Surgical timing
- Arthroscopic inlay versus transtibial versus all-inside technique
- Adjunctive bi-planar osteotomy.
Faculty:
Brain R. Waterman, MD; Michael J. Alaia, MD; Volker Musahl, MD; Dustin L. Richter, MD
Saturday, July 16, 2022
For additional information about each course, click on the course number below.
Register Here for Instructional Courses-
Location: International Center North
Course Description:
The first two years of clinical practice are widely regarded as the most stressful and challenging years of an orthopaedic surgeon's career. Many graduating fellows are excited to begin their own clinical practice only to find that they underestimate the unforeseen obstacles awaiting them. How to handle these early challenges is rarely discussed or taught during residency or fellowship. The pressures during the first two years of practice can feel overwhelming. These challenges can quickly dampen a new physician's confidence and enthusiasm if he or she does not have a good plan for handling them. Developing such a strategy is often an overlooked part of sports fellowship training because trainees witness expert surgeons with mature sports practices, which usually does not simulate what they will experience in early practice. Therefore, we hope to bridge this gap with our proposed ICL. The target audience for this ICL is residents, fellows, and recently graduated fellows who are now early career surgeons. The format is a round table, case-based discussion. Difficult patients and surgical cases that have taught us invaluable lessons on how to navigate the first two years of practice will be presented and used as a platform for discussing important topics, including how to handle complications, how to navigate intra-operative struggles or errors, how to manage difficult patients, how to handle consequences of patient care decisions, how to navigate politics of a new practice, how to build a thriving sports practice, and how to achieve work-life balance. We will also discuss the often-overlooked mental health aspects of being an attending surgeon and how to manage these issues. The primary goal is to provide a comfortable, safe environment to candidly discuss the fears and challenges of beginning clinical practice. The faculty is composed of young surgeons who are at least two years removed from fellowship graduation. Of note, this provides young, emerging leaders in AOSSM an opportunity for ICL faculty involvement early in their careers.
Faculty:
James B. Carr II, MD; David L. Bernholt, MD; Jourdan M. Cancienne, MD; Joseph D. Lamplot, MD; Brian C. Lau, MD; Catherine A. Logan, MD, MSPT, MBA; Kellie K. Middleton, MD, MPH; Gabriella E. Ode, MD, MPH
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Location: International Center South
Course Description:
Orthobiologics is an emerging field that offers great promise, but the interest in the lay press has outstripped the science. This ICL will cover the established applications of orthobiologics, as well as emerging areas of interest, and the regulatory aspects of using these emerging devices and products.
Faculty:
Stephen C. Weber, MD; Jason L. Dragoo, MD; Louis McIntyre, MD; Scott A. Rodeo, MD
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Location: Colorado Hall A
Course Description:
Most orthopedic team physicians can expertly manage common knee and shoulder injuries, like MCL sprains, ACL tears and shoulder instability. However, many sports surgeons are less comfortable with the sideline and definitive management of foot & ankle, hip, hand and spine injuries. In many settings, the appropriate subspecialty care is either not available or unfamiliar with treating high-level athletes and it is therefore the team physician’s responsibility to definitively manage or at least guide the care of these athletes. The goal of this course is to provide the team physician with a concise update on current concepts and trends regarding the management of foot & ankle, hip, hand and spine injuries in high-level athletes. This course will explore many evolving and controversial topics including acute surgical stabilization of high ankle sprains, the relationship between hip pathology and core muscle injuries, definitive management of scapholunate ligament injuries and role of cervical fusion vs. disc replacement in the competitive athletes. The presenters will use a combination of evidence-based medicine and clinical cases to provide attendees with an algorithmic approach to managing these controversial injuries. Audience participation will be a critical element of the session and ample time will be left for case presentations, questions and discussion.
Faculty:
Gautam P. Yagnik, MD; Andrew B. Dossett, MD; Craig S. Mauro, MD; Steven S. Shin, MD, MMSc; Norman Waldrop, MD
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Location: Colorado Hall B
Course Description:
This course will review knee malalignment with special focus on coronal plane and sagittal plane alignment. Indications for proximal tibia osteotomies and distal femur osteotomies will be discussed. The advantages and disadvantages of closing wedge and opening wedge osteotomies will be examined in a case based discussion with special attention to the tibial slope and associated procedure (ACL, cartilage surgeries, meniscus transplant, etc.). Surgical technique for osteotomies will be presented in a case-based format.
Faculty:
Volker Musahl, MD; David DeJour, MD; Alan Getgood, MD, FRCS (Tr&Orth); Anil S. Ranawat, MD; Stefano Zaffagnini, MD
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Location: Colorado Hall C
Course Description:
Pediatric ACL reconstruction is still a challenge for the orthopaedic surgeon. Many different surgical techniques have been developed with to goal of reducing physeal damage and re-rupture rates. In this case-based IC, a panel of European and US authors describe their indications for ACL reconstruction in the pediatric population and present a re-live surgery of their favorite surgical technique.
Described techniques include:
- ACL repair
- All epiphyseal ACL reconstruction
- Partial transphyseal (tibia) and over the top (femur) ACL reconstruction
- Kocker/Micheli technique
- All-epiphyseal over the top Marcacci/Zaffagnini technique
- Hybrid technique, All epiphyseal (tibia) and over the top (femur) ACL reconstruction
- Adult type reconstruction.
In addition, the paramount importance of return to sport timing and risk of re-injury will be discussed regarding pediatric ACL reconstruction.
Faculty:
Davide E. Bonasia, MD; Annunziato (Ned) Amendola, MD; Daniel W. Green, MD; Jonathan C. Riboh, MD; Roberto Rossi, MD; Stephano Zaffagnini, MD
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Location: Colorado Hall F
Course Description:
Massive and irreparable rotator cuff tears continue to be a challenging problem to treat. In the last few years, novel techniques have emerged which have expanded the non-arthroplasty treatment armamentarium for the sports medicine surgeon. The purpose of this course is to review the latest emerging procedures for the non-arthroplasty treatment options for massive rotator cuff tears for practicing sports medicine surgeons. The topics covered will include superior capsule reconstruction including using the long head of the biceps tendon, biologic tuberoplasty, Bursal Acromial Reconstruction, balloon arthroplasty, and tendon transfers. Detailed step-by-step descriptions by the faculty will allow the surgeon to learn these procedures and implement them in their practice.
Faculty:
Raffy Mirzayan, MD; Joseph A. Abboud, MD; Bassem T. Elhassan, MD; John M. Tokish, MD; Nikhil N. Verma, MD
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Location: Colorado Hall D
Course Description:
Primary anterior cruciate ligament (ACL) reconstruction is a reproducible procedure if performed according to anatomic and soft tissue principles. However, the success of ACL reconstruction depends on recognition and treatment of concomittant injuries. Meniscal root tears and ramp lesions are two common injury patterns that occur with acute ACL tears and surgical treatment indications and techniques are evolving. Medial collateral ligament and posterolateral corner injuries may be misdiagnosed or neglected, and this may result in residual laxity and ACL graft failure. The anterolateral complex of the knee including the anterolateral ligament, Kaplan fibers, and iliotibial band plays an important biomechanical role in stabilizing the knee against excessive anterolateral rotation and surgical reconstruction may improve ACL reconstruction success in select indications. Excessive posterior tibial slope may place knees at greater risk for ACL tear and may result in greater risk of ACL reconstruction failure; this should be recognized, evaluated, and considered by surgeons in their treatment planning. Attendees will learn to recognize and incorporate these concepts and potential surgical treatments into their practice with the goal of improving ACL reconstruction outcomes.
Faculty:
Andrew G. Geeslin, MD; Jorge Chahla, MD, PhD; Patrick W. Kane, MD; Christopher M. Larson, MD
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Location: Colorado Hall E
Course Description:
Ulnar collateral ligament (UCL) injuries of the elbow are on the rise in overhead athletes of all levels of play. Many of these injuries can be managed non-operatively with rest and a return to throwing program with or without the addition of a biologic to aid in ligament healing. However, a subset necessitates surgical intervention. Surgical techniques have continued to evolve over the past several years and now include a primary UCL repair with internal brace, modified docking technique with added graft strands, and others. Furthermore, as more primary UCL repairs and reconstructions are performed, the number of revision UCL reconstructions has risen proportionally. The purpose of this instructional course lecture is to review current injury prevention strategies and discuss the epidemiology and evolution of UCL injuries. We will then review the operative and non-operative treatment options and delve into which patients would potentially benefit from non-operative management (with or without the use of biologics) and which patient may benefit from earlier surgical intervention. We will then discuss rehabilitation and how to get these athletes back to sport in a safe and efficient manner.
Faculty:
Brandon J. Erickson, MD; Christopher S. Ahmad, MD; Gregory L. Cvetanovich, MD; Anthony A. Romeo, MD; Mark S. Schickendantz, MD