A Surgery Master Class

Focus:                                     A master class in surgery of the spastic upper limb
Location:                              Stanford University, Stanford, California
Proposed dates:                May 29-30, 2020
Registration:                       Limited to 24 full participants, (on a first come basis)
Costs:                                      TBD
Course Organizers:          Catherine Curtin, Vincent Rod Hentz, Amy L Ladd
Course Chair:                      Caroline Leclercq
Contact:                                 vrhentz@stanford.edu   

Is there a need for a master class in surgery of the spastic upper limb?

There is increasing awareness that there is an expanded role for surgery in managing many deformities of the spastic upper limb other than just correcting the most severe contractures.  Two very well-attended (250+ registrants) symposia (Paris, 2017 and Venice, 2019) demonstrate increased interest among upper limb surgeons in adding to their surgical armamentarium, procedures such as soft tissue contracture release, selective neurectomy, muscle release, tenotomy and tendon transfer, and joint fusions for patients with spasticity of the upper limb secondary to stroke, traumatic brain injury, spinal cord injury and cerebral palsy.

The proposed 2-day course at Stanford University will bring together nationally and internationally recognized experts in the field of surgical management of the spastic upper limb and a small but lucky number of physicians who wish to improve procedures already performed, and more importantly, learn new procedures from these experts.  Lectures focusing on indications will be combined with fresh cadaver workshops where participants can learn from experts and then perform specific procedures for the shoulder, elbow, wrist and hand.  The capacity of the cadaver workshop limits this course to no more than 24 participants, working 2 participants to one fresh cadaver shoulder to hand specimen.  Depending on interest, there is the possibility to accommodate “observers” whose participation will be limited to lectures and demonstrations.

The preliminary program has out of area participants arriving Thursday, May 28th with the course commencing Friday, May 29th and ending sometime Saturday afternoon, May 30th.

A proposed list of procedures to be discussed, demonstrated and practiced include:

1. Tenotomies and tendon lengthening including fractional lengthening for the shoulder, elbow wrist and hand
2. Hyperselective neurectomies for deformities of the elbow, wrist and hand
3. Arthrodesis for wrist and hand
4. Tendon transfers
5. Selective procedures to manage digital deformities such as thumb in palm, swan-neck, joint instabilities

Invited faculty:

Marybeth Ezaki, MD   Dallas, TX
Michelle James, MD  Sacramento, CA
Scott Kozin, MD  Philadelphia, PA
Caroline Leclercq, MD  Paris, France
Scott Oishi, Dallas, TX
Carina Reinholdt, Goteborg, Sweden
Ann Van Heest, MD  Minneapolis, MN