Preliminary Program

FACULTY MEMBERS

Nathalie BINI (Torino, Italy)
Graine COLGAN (Dublin, Ireland)
Caroline LECLERCQ (Paris, France)
Paolo PANCIERA (Treviso, Italy)
Jean Gabriel PRÉVINAIRE (Berck-sur-Mer, France)
Peter Charles RHEE (Rochester, USA)
Marjorie SALGA (Paris, France)
Nadine STURBOIS-NACHEF (Paris, France)

Thursday, 9 November 2023
07:30	Registration, morning coffee
08:00	Introduction to the surgical treatment of the Spastic Upper Limb	C. LECLERCQ
08:10	A few definitions: sapsticity, dystonia…	M. SALGA
08:20	Clinical examination	C. LECLERCQ
08:40	Botulinum toxin and nerve blocks: - Technical tips, general indication - Botulinum toxin and surgery: a necessary pair	M. SALGA
09:00	Non-surgical treatment Medications, physiotherapy,orthoses	JG PREVINAIRE
09:25	When to decide on surgery: Debate	All Faculty
09:50	Coffee break
10:20	Surgical Strategy: a systematic approach	C. LECLERCQ
10:35	Hyperselective Neurectomy: Indications and results Discussion	P. PANCIERA All Faculty
11:00	The spastic shoulder The spastic shoulder muscles: patho-anatomy Surgical principles	N. STURBOIS-NACHEF P. RHEE
11:30	Around the elbow: The spastic elbow flexors The spastic triceps Discussion	P. PANCIERA N. BINI
12:10	The spastic forearm: Pronator and supinator muscles	C. JALOUX
12:30	Clinical cases	All Faculty
12:50	Lunch on site
13:50	Around the wrist: Rebalancing the wrist Stabilizing procedures: radio-carpal fusion medio-carpal fusion	G. COLGAN P. RHEE P. PANCIERA
14:30	Spastic deformities of the fingers Extrinsics Intrinsics Discussion	C. COLGAN N. STURBOIS-NACHEF
15:20	Postoperative rehabilitation	JG PREVINAIRE
15:40	Coffee break
16:10	The spastic thumb: The deforming factors Surgical strategy: rebalancing the thumb Discussion	N. BINI G. COLGAN
16:45	Specificity strategies: Children cerebral palsy Adult cerebral palsy The non-functional hand in the stroke patient	N. BINI C. LECLERCQ P. RHEE
17:15	Future tools? Cryoneurotherapy Nerve transfers	N. STURBOIS-NACHEF C. JALOUX
17:30	Clinical cases	All Faculty
18:00	End of the day

Friday, 10 November 2023			SURGEONS	REHAB. SPEC.
07:30	Registration, morning coffee
08:00	Lecture	Introduction to the workshop	X	X
08:15	SHOULDER
15 min	Lecture	surgical techniques shoulder	X	X
15 min	Demo	Tenotomy / lengthening of PM, TM, LD, SS	X	X
60 min	Dissection	(same)	X
"	Workshop	Clinical examination of the spastic upper limb: Special focus on the shoulder and elbow		X
09:45	Clinical cases shoulder		X	X
10:00	Coffee break
10:30	ELBOW
15 min	Lecture	Elbow	X	X
15 min	Demo	Elbow HSN + flexor lengthening	X	X
60 min	Dissection	(same)	X
"	Workshop	Anatomy: cadaver demonstration shoulder + elbow Ultrasound imaging: shoulder and elbow		X
12:00	FOREARM 1: Hyper-selective Neurectomy (HSN)
5 min	Lecture	Surgical technique HSN median + ulnar
15 min	Demo	HSN median + ulnar nerve forearm	X	X
40 min	Dissection	(same)	X
"	Lecture	Botox, nerve blocks and HSN: similarities and differences		X
13:00	Lunch on site
14:00	FOREARM 2: Release procedures
20 min	Lecture	Techniques of release and lengthening	X	X
20 min	Demo	Epicondylar release, Zancolli, PT, fractional, STP	X	X
60 min	Dissection	PT, fractional, STP	X
"	Workshop	Ultrasound imaging: shoulder and elbow Anatomy : cadaver demonstration shoulder + elbow		X
15:40	Coffee break
16:10	TENDON TRANSFERS
15 min	Lecture	Techniques of tendon transfers	X	X
15 min	Demo	Transfer FCU - ECU - BR to Wrist Extensors	X	X
60 min	Dissection	(same)	X
"	Lecture + discussion	Functional assessment and outcome measures of the spastic upper limb		X
17:40	Clinical cases		X	X
18:15	End of the day

Saturday, 11 November 2023			SURGEONS	REHAB. SPEC.
08:00	Morning coffee
08:30	WRIST ARTHRODESIS
20 min	Lecture	Technical challenges / associated procedures	X	X
20 min	Demo	Total wrist fusion (2 plates)	X	X
70 min	Dissection	(same)	X
"	Workshop	Anatomy: cadaver demonstration forearm and hand Ultrasound imaging of distal muscles: hands-on		X
10:20	Coffee break
10:50	THUMB
15 min	Lecture	Rebalancing the thumb: techniques	X	X
20 min	Demo	First web release // tendon transfers to thumb extensors// PUM (palmar ulnar + median neurotomy)	X	X
70 min	Dissection	(same)	X
"	Workshop	Ultrasound imaging of distal muscles: hands-on Anatomy: cadaver demonstration forearm and hand		X
12:45	Clinical cases wrist-thumb		X	X
13:15	Lunch on site
14:15	GENERAL	Setting up a spasticity clinic - Debate	X	X
14:45	FINGER INTEROSSEI
10 min	Lecture	Anatomy and techniques	X	X
20 min	Demo	Distal / proximal tenotomy	X	X
30 min	Clinical cases fingers		X	X
15 min	Wrap up / Course evaluation		X	X
16:00	End of the Master Class