INSTRUCTIONAL COURSE IN HAND SURGERY (SIXTH MEETING, FIFTH SERIES) WRIST, OCCUPATIONAL AND MEDICOLEGAL ASPECTS AT THE MANCHESTER CONFERENCE CENTRE 14TH/15TH JUNE 2013 FRIDAY 14TH JUNE 08:30 Registration SESSION 1: Disorders of the Forearm and Wrist CHAIRMAN: Lindsay Muir Epicondalgia A practical guide: Disorders of the tendons: De Quervain’s, trigger finger, peritendonitis crepitans Chronic compartment syndrome Work-related upper limb disorders Discussion SESSION 2: The Hand and Brain CHAIRMAN: Nick Downing The hand or the brain: Somatoform disease Factitious disorders: Clinical aspects Factitious disorders: Management Discussion Refreshments and Exhibitions SESSION 3: Evaluation of the Wrist CHAIRMAN: Jonathan Hobby Structure and function of the wrist with reference to plain radiology History and examination of the wrist Arthrography, CT, ultrasound and MRI – What you can and what you can’t see Arthroscopy – What is normal Discussion Lunch and Exhibitions SESSION 4: Distal Radius Fractures CHAIRMAN: David Warwick Radius fractures – Classification, assessment and associated injuries Non-operative treatment? How to treat extra-articular fractures: The evidence Volar locking plates – Principles, biomechanics and uses Intra-articular fractures – Decision making, treatment options and outcomes Treatment of associated ulnar fractures Management of distal radial malunion – Dorsal or volar, bone graft or substitute? Techniques and results
09:00 09:10 09:20 09:30 09:50
David Clark Zsolt Szabo Dan Brown Nick Downing
10:05 10:20 10:30 10:40 10:55
Christopher Bass Tim Davis Christopher Bass
11:25 11:40 11:55 12:15 12:30 12:45
Zsolt Szabo Zulfi Rahimtoola Waqar Bhatti Max Haerle
13:45 14:00 14:10 14:25 14:45 15:00
Jonathan Hobby Zsolt Szabo Lindsay Muir Alex Shin Tommy Lindau Mike Craigen
15:15 15:40
Discussion and Faculty’s Cases Refreshments and Exhibitions SESSION 5: The Scaphoid CHAIRMAN: Dan Brown When is a scaphoid fractured? Acute scaphoid fractures – Plaster or fixation Percutaneous fixation – How to do it Scaphoid non-union – Simple graft, vascularised graft and novel technique Salvage of the un-united scaphoid: 4CF, PRC, APSI Discussion and Faculty’s Cases Close of Day One Drinks Reception
16:10 16:20 16:30 16:40 17:00 17:20 17:45 17:50
Jonathan Hobby Joe Dias Zsolt Szabo Alex Shin Anthony Hearndon
SATURDAY 15TH JUNE 08:00 Registration SESSION 6: The Child’s Wrist Chairman: Dean Boyce 08:15 Children’s radius fractures: Potential for remodelling, acceptable limits of malunion, diagnosis and management of growth arrest 08:30 Madelung’s deformity 08:40 Discussion SESSION 7: Ligamentous Injuries Chairman: Lindsay Muir 08:50 Wrist ligament anatomy and kinematics 09:00 BREAKOUT SESSION To Wrist instability for the uninitiated… A tutorial 09:45 09:05 Acute ligament injuries – Patterns, diagnosis and management, including acute scapho-lunate tear and carpal/perilunate dislocations and transcaphoid/styloid fracture dislocation 09:25 Chronic scapho-lunate instability: Symptoms and signs, classification, natural history and treatment of pre-arthritic stages 09:45 Discussion and Faculty’s Cases SESSION 8: Ulnar Corner Problems Chairman: David Clark 10:00 Ulnar border wrist pain – Demonstration of examination techniques with video clips 10:15 The anatomy and physiology of forearm rotation 10:30 Discussion 10:40 Refreshments and Exhibitions SESSION 9: Ulnar Corner Problems Chairman: David Clark Instability of the DRUJ Ulno-carpal impaction and central TFC tears: Ulnar shortening techniques – Arthroscopic and open Midcarpal and ulnar-sided instability: Clinical presentation, clinical tests, radiology and management – Arthroscopic, soft tissue and fusion Other causes of ulnar-sided wrist pain, including pisotriquertral OA, ECU Discussion
TBC Paul McArthur
John Stanley Dan Brown Zulfi Rahimtoola David Clark Tommy Lindau
Greg Packer
Alex Shin Paul Malone
11:10 11:20 11:35 11:50 12:00
David Warwick Max Haerle David Hargreaves Mike Craigen
12:30 Series Six Preview 12:35 Quiz
Jonathan Hobby Nick Downing David Clark
13:00 Lunch and Exhibitions SESSION 10: Other Wrist Problems Chairman: Zulfi Rahimtoola Salvage of the stiff or painful distal radioulnar joint Osteoarthritis of the wrist: Presentation and patterns of wrist involvement Osteoarthritis of the wrist: minimal invasive techniques, denervation, arthroscopic techniques Osteoarthritis of the wrist: Treatment options, partial fusion, total fusion, partial and total arthroplasty Post-traumatic osteoarthritis – Are these actually major clinical problems after distal radius or scaphoid fractures: The evidence Avascular necrosis of carpal bones Discussion
14:00 14:10 14:20 14:35 14:50 15:00 15:15
David Warwick Adam Watts Max Haerle Greg Packer Daren Forward Alex Shin